CCTV News:In 2021, the national health and wellness system will conscientiously implement the decision-making arrangements of the CPC Central Committee and the State Council, coordinate epidemic prevention and control, health and wellness, and continuously promote the high-quality development of health and wellness. The average life expectancy of residents will increase from 77.93 years in 2020 to 78.2 years in 2021, the maternal mortality rate will drop from 16.9/100,000 to 16.1/100,000, and the infant mortality rate will drop from 5.4‰ Down to 5.0‰ .
I. Health resources
(1) The total number of medical and health institutions. By the end of 2021, there were 1,030,935 medical and health institutions nationwide, an increase of 8,013 over the previous year. Among them, there are 36,570 hospitals, 977,790 primary medical and health institutions and 13,276 professional public health institutions. Compared with the previous year, there were 1,176 hospitals and 7,754 primary medical and health institutions. There are 10 categories of national medical centers and national regional medical centers for children in China.
Among hospitals, there are 11,804 public hospitals and 24,766 private hospitals. Hospitals are classified into 3,275 tertiary hospitals (including 1,651 tertiary hospitals), 10,848 secondary hospitals, 12,649 primary hospitals and 9,798 unrated hospitals.
According to the number of beds, there are 21,909 hospitals with less than 100 beds, 5,412 hospitals with 100-199 beds, 5,017 hospitals with 200-499 beds, 2,068 hospitals with 500-799 beds and 2,164 hospitals with 800 beds or more.
Among the primary medical and health institutions, there are 36,160 community health service centers (stations) (including 10,122 community health service centers and 26,038 community health service stations), 34,943 township hospitals, 271,056 clinics and clinics, and 599,292 village clinics.
Among professional public health institutions, there are 3,376 centers for disease prevention and control, including 31 at the provincial level, 410 at the prefecture (city) level and 2,755 at the county (district, county-level city) level. There are 3010 health supervision institutions, including 25 at the provincial level, 315 at the prefecture (city) level and 2487 at the county (district, county-level city) level. There are 3032 maternal and child health care institutions, including 26 at the provincial level, 377 at the prefecture (city) level and 2554 at the county (district, county-level city) level.
(2) Number of beds. By the end of 2021, there were 9.448 million beds in medical and health institutions nationwide, including 7.413 million beds in hospitals (accounting for 78.5%), 1.712 million beds in primary medical and health institutions (accounting for 18.1%) and 302,000 beds in professional public health institutions (accounting for 3.2%). In hospitals, public hospital beds account for 70.2% and private hospital beds account for 29.8%. Compared with the previous year, the number of beds increased by 348,000, including 281,000 in hospitals (116,000 in public hospitals and 166,000 in private hospitals), 63,000 in primary medical and health institutions and 6,000 in professional public health institutions. The number of beds in medical and health institutions per thousand population will increase from 6.46 in 2020 to 6.70 in 2021.
(3) Total number of health personnel. By the end of 2021, the total number of health workers in China was 13.983 million, an increase of 508,000 (3.8%) over the previous year.
At the end of 2021, among the total number of health workers, there were 11.242 million health technicians. Among the health technicians, there are 4.287 million licensed (assistant) doctors and 5.018 million registered nurses. Compared with the previous year, the number of health technicians increased by 564,000 (up by 5.3%).
By the end of 2021, there were 8.478 million people in hospitals (accounting for 60.6%), 4.432 million people in primary medical and health institutions (accounting for 31.7%) and 958,000 people in professional public health institutions (accounting for 6.9%).
In 2021, there were 3.04 licensed (assistant) doctors and 3.56 registered nurses per thousand population; The number of general practitioners per 10,000 population is 3.08, and the number of professional public health institutions per 10,000 population is 6.79.
(4) Total health expenditure. In 2021, the total national health expenditure is estimated to be 7,559.36 billion yuan, of which: government health expenditure is 2,071.85 billion yuan, accounting for 27.4%; Social health expenditure was 3,392.03 billion yuan, accounting for 44.9%; Personal health expenditure was 2,095.48 billion yuan, accounting for 27.7%. The per capita total health expenditure is 5348.1 yuan, and the proportion of total health expenditure to GDP is 6.5%.
Second, medical services
(1) Outpatient service and hospitalization. In 2021, the total number of medical and health institutions in China was 8.47 billion, an increase of 730 million (9.4%) over the previous year. In 2021, residents visited medical and health institutions for an average of 6.0 times.
In 2021, there were 3.88 billion person-times in hospitals (accounting for 45.8%), 4.25 billion person-times in primary medical and health institutions (accounting for 50.2%) and 340 million person-times in other medical and health institutions (accounting for 4.0%). Compared with the previous year, the number of hospital visits increased by 560 million, and the number of primary medical and health institutions increased by 130 million.
In 2021, there were 3.27 billion medical consultations in public hospitals (accounting for 84.2% of the total medical consultations in hospitals) and 610 million medical consultations in private hospitals (accounting for 15.8% of the total medical consultations in hospitals).
In 2021, township hospitals and community health service centers (stations) treated 2 billion people, an increase of 150 million people over the previous year. The number of consultations in township hospitals and community health service centers (stations) accounted for 23.6% of the total number of consultations, and the proportion decreased by 0.3 percentage points over the previous year.
In 2021, there were 247.26 million hospitalizations in medical and health institutions nationwide, an increase of 17.13 million over the previous year (an increase of 7.4%), and the annual hospitalization rate of residents was 17.5%.
In 2021, there were 201.49 million person-times in hospitals (accounting for 81.5%), 35.92 million person-times in primary medical and health institutions (accounting for 14.5%) and 9.85 million person-times in other institutions (accounting for 4.0%). Compared with the previous year, the number of hospital admissions increased by 17.97 million, the number of primary medical and health institutions decreased by 1.15 million, and the number of other medical institutions increased by 320,000.
In 2021, there were 164.04 million hospital admissions in public hospitals (accounting for 81.4% of the total hospital admissions) and 37.45 million hospital admissions in private hospitals (accounting for 18.6% of the total hospital admissions).
(2) The workload of hospital doctors. In 2021, hospital doctors were responsible for 6.5 person-times of diagnosis and treatment and 2.2 bed days of hospitalization, among which, doctors in public hospitals were responsible for 7.0 person-times of diagnosis and treatment and 2.2 bed days of hospitalization.
(3) use of hospital beds. In 2021, the utilization rate of hospital beds in China was 74.6%, including 80.3% in public hospitals. Compared with the previous year, the utilization rate of hospital beds increased by 2.3 percentage points (including 2.9 percentage points in public hospitals). In 2021, the average length of stay of discharged patients in hospitals was 9.2 days (including 9.0 days in public hospitals), and compared with the previous year, the average length of stay of discharged patients in hospitals decreased by 0.3 days (including 0.3 days in public hospitals).
(4) improving medical services. By the end of 2021, 54.5% of secondary and above public hospitals had carried out appointment diagnosis and treatment, 91.3% had carried out clinical pathway management, 64.6% had carried out telemedicine services, 87.6% had participated in mutual recognition of examination results at the same level, and 92.0% had carried out quality nursing services.
(5) blood security. In 2021, the number of unpaid blood donors reached 16.745 million, and the amount of blood collected reached 28.559 million units, up by 7.5% and 8.0% respectively compared with 2020, and the blood donation rate per thousand people was 12.
Third, primary health services
(1) Rural health. By the end of 2021, there were 17,294 county-level (including county-level cities) hospitals, 1,868 county-level (including county-level cities) maternal and child health care institutions, 1,999 county-level (including county-level cities) centers for disease prevention and control, and 1,761 county-level (including county-level cities) health supervision institutions, with a total of 3.521 million health personnel in four types of county-level (including county-level cities) medical and health institutions.
By the end of 2021, there were 35,000 township health centers in 29,600 townships nationwide, with 1.417 million beds and 1.492 million health workers (including 1.285 million health technicians). Compared with the previous year, the number of township hospitals decreased by 819, the number of beds increased by 27,000, and the number of personnel increased by 11,000.
By the end of 2021, there were 599,000 village clinics in 490,000 administrative villages nationwide. There are 1.363 million people working in village clinics, including 476,000 licensed (assistant) doctors, 193,000 registered nurses, 691,000 rural doctors and health workers. Compared with the previous year, the number of village clinics decreased by 10,000, and the number of practicing (assistant) doctors increased by 11,000.
In 2021, there were 1.31 billion hospital visits at county level (including county-level cities), an increase of 150 million over the previous year; The number of admissions was 83.718 million, an increase of 3.069 million over the previous year; The utilization rate of hospital beds was 72.3%, an increase of 0.7 percentage points over the previous year.
In 2021, the number of medical consultations in township hospitals was 1.16 billion, an increase of 60 million over the previous year; The number of hospital admissions was 32.23 million, a decrease of 1.603 million over the previous year. In 2021, doctors were responsible for 8.9 person-times of diagnosis and treatment and 1.2 bed days of hospitalization, and the utilization rate of beds was 48.2%, and the average hospitalization days of discharged patients were 6.6 days. Compared with the previous year, the average daily number of doctors in township hospitals increased by 0.4 person-times, the average daily number of hospital beds decreased by 0.1 bed days, the utilization rate of hospital beds decreased by 2.2 percentage points, and the average hospitalization days remained unchanged.
In 2021, the number of visits to village clinics was 1.34 billion, a decrease of 90 million compared with the previous year, with an average of 2,239 visits per village clinic.
(2) Community health. By the end of 2021, there were 36,160 community health service centers (stations) in China, including 10,122 community health service centers and 26,038 community health service stations. Compared with the previous year, there were 296 community health service centers and 499 community health service stations. There are 555,000 people in community health service centers, with an average of 55 people in each center; There are 128,000 people in community health service stations, with an average of 5 people per station. The number of staff in community health service centers (stations) increased by 35,000 over the previous year, with an increase of 5.4%.
In 2021, there were 700 million medical consultations and 3.193 million hospitalizations in the national community health service centers. On average, each center has an annual treatment volume of 69,000 person-times and an annual admission volume of 315 person-times; Doctors are responsible for 14.6 person-times of diagnosis and treatment and 0.5 bed days of hospitalization. In 2021, there were 140 million consultations in community health service stations nationwide, with an average of 5,379 consultations per station, and 11.0 consultations per doctor per day.
(3) Basic public health services. The per capita financial subsidy standard for basic public health services will be raised from 74 yuan in 2020 to 79 yuan in 2021. In 2021, the number of elderly people aged 65 and above who received health management in primary health care institutions was 119.412 million, the number of hypertensive patients who received health management was 109.384 million, and the number of type 2 diabetes patients who received health management was 35.713 million.
Fourth, Chinese medicine services
(a) institutions of traditional Chinese medicine, beds and personnel. In 2021, there were 77,336 Chinese medical and health institutions nationwide, an increase of 4,981 over the previous year. Among them, there are 5715 Chinese medicine hospitals, 71583 Chinese medicine outpatient departments and clinics, and 38 Chinese medicine research institutions. Compared with the previous year, there were 233 Chinese medicine hospitals and 4,753 Chinese medicine outpatient departments and clinics.
In 2021, there were 1.505 million beds in Chinese medicine medical and health institutions nationwide, including 1.197 million beds in Chinese medicine hospitals (accounting for 79.5%). Compared with the previous year, the number of beds in medical and health institutions of traditional Chinese medicine increased by 72,000, including 49,000 beds in hospitals of traditional Chinese medicine.
In 2021, 99.6% of the similar institutions are community health service centers, 93.0% are community health service stations, 99.1% are township hospitals and 79.9% are village clinics.
In 2021, the total number of Chinese medicine health personnel in China reached 884,000, an increase of 55,000 (an increase of 6.6%) over the previous year. Among them, there are 732,000 practicing (assistant) doctors in Chinese medicine and 136,000 pharmacists (doctors). The two types of personnel have increased compared with the previous year.
(2) Chinese medicine medical services. In 2021, the total number of medical consultations in Chinese medical and health institutions nationwide was 1.2 billion, an increase of 140 million over the previous year (up 13.7%). Among them, there were 690 million person-times in TCM hospitals (accounting for 57.3%), 200 million person-times in TCM outpatient departments and clinics (accounting for 17.0%), and 310 million person-times in TCM clinical departments of non-TCM medical institutions (accounting for 25.7%).
In 2021, 38.002 million people were discharged from Chinese medical and health institutions nationwide, an increase of 2.96 million people (8.4%) over the previous year. Among them, there were 31.519 million person-times in hospitals of traditional Chinese medicine (accounting for 82.9%), 0.8 million person-times in outpatient departments of traditional Chinese medicine, and 6.475 million person-times in clinical departments of traditional Chinese medicine in non-traditional Chinese medicine medical and health institutions (accounting for 17.0%).
V. Medical expenses of patients
(1) Medical expenses of hospital patients. In 2021, the average outpatient cost of the hospital was 329.2 yuan, which was 1.5% higher than that of the previous year and 0.6% higher than the comparable price. The average hospitalization expense was 11,002.9 yuan, which was 3.6% higher than the previous year and 2.7% higher than the comparable price. The average daily hospitalization expense is 1191.7 yuan.
In 2021, the average outpatient medical expenses (123.3 yuan) accounted for 37.5% of the average outpatient expenses, down 1.6 percentage points from the previous year (39.1%); The average hospitalization expenses (2759.5 yuan) accounted for 25.1% of the average hospitalization expenses, which was 1.1 percentage points lower than the previous year (26.2%).
In 2021, among public hospitals at all levels, the average outpatient expenses of tertiary hospitals decreased by 0.9% (the current price, the same below), and the average hospitalization expenses decreased by 1.1%.
(2) Medical expenses of patients in primary medical and health institutions. In 2021, the average outpatient fee of community health service center was 164.3 yuan, which was 1.0% lower than that of the previous year and 1.8% lower than that of the comparable price. The average hospitalization expense was 3,649.9 yuan, which was 2.5% higher than that of the previous year and 1.6% higher than the comparable price.
In 2021, the average outpatient drug expenses in community health service centers (118.9 yuan) accounted for 72.4% of the average outpatient expenses, down 2.9 percentage points from the previous year (75.3%); The average hospitalization expenses (1088.8 yuan) accounted for 29.8% of the average hospitalization expenses, which was 1.8 percentage points lower than the previous year (31.6%).
In 2021, the average outpatient fee of township hospitals was 87.5 yuan, which was 3.3% higher than that of the previous year and 2.4% higher than the comparable price. The average hospitalization expense was 2166.5 yuan, which was 4.0% higher than that of the previous year and 3.1% higher than the comparable price. The average daily hospitalization expense is 329.3 yuan.
In 2021, the average outpatient medical expenses of township hospitals (51.5 yuan) accounted for 58.9% of the average outpatient expenses, down 2.3 percentage points from the previous year (61.2%); The average hospitalization expenses (719.4 yuan) accounted for 33.2% of the average hospitalization expenses, which was 1.9 percentage points lower than the previous year (35.1%).
VI. Disease Control and Public Health
(1) Prevention and control of epidemic situation in COVID-19. In 2021, 31 provinces (autonomous regions and municipalities directly under the Central Government) and Xinjiang Production and Construction Corps reported 15,243 confirmed cases in COVID-19, including 6,866 imported cases and 8,377 local cases; There were 6265 asymptomatic infected people, including 5047 imported cases and 1218 local cases. In the whole year, 12,725 discharged cases were reported, including 6,331 imported cases and 6,394 local cases. There were 2 deaths.
Further improve the epidemic prevention and control policy system, unswervingly adhere to the general strategy of "external defense input, internal defense rebound" and the general policy of "dynamic zero clearing", adhere to the common prevention of people, things and environment, revise and issue 85 kinds of protection guides related to epidemic prevention and control in key places, key units and key populations, and revise the novel coronavirus Prevention and Control Plan (Eighth Edition) and the novel coronavirus Diagnosis and Treatment Plan (Trial Eighth Edition? Revised edition) and other programs.
As of December 31, 2021, a total of 2,835,332,000 doses of Covid-19 vaccination have been completed, and the number of people who have completed the whole vaccination is 1,210,685,000; A total of 11,937 medical and health institutions in China provide Covid-19 nucleic acid detection services, with a total detection capacity of 41.68 million copies/day, and the nucleic acid detection capacity has been significantly improved; There are more than 800 designated hospitals in COVID-19.
(2) reported incidence and death of infectious diseases. In 2021, there were 2.727 million reported cases of Class A and B infectious diseases and 22,000 reported deaths. The top five reported cases are viral hepatitis, tuberculosis, syphilis, gonorrhea and brucellosis, accounting for 93.3% of the total reported cases of Class A and B infectious diseases. The top five reported deaths are AIDS, tuberculosis, viral hepatitis, rabies and epidemic hemorrhagic fever, accounting for 99.7% of the total reported deaths of Class A and B infectious diseases.
In 2021, the reported incidence rate of Class A and B infectious diseases in China was 1.9346/100,000, and the mortality rate was 1.5733/100,000.
In 2021, a total of 3.506 million cases of 11 Class C infectious diseases were reported and 19 people died. The top five reported cases were hand, foot and mouth disease, other infectious diarrhea, influenza, mumps and acute hemorrhagic conjunctivitis, accounting for 99.9% of the total reported cases of Class C infectious diseases. The diseases that reported more deaths were hand, foot and mouth disease, other infectious diarrhea and influenza in turn, accounting for 94.7% of the total reported deaths of Class C infectious diseases.
In 2021, the reported incidence rate of Class C infectious diseases in China was 248.71/100,000, and the mortality rate was 0.0013/100,000.
(3) Prevention and control of schistosomiasis. By the end of 2021, there were 451 endemic counties (cities, districts) in China; The number of counties (cities, districts) that have achieved elimination, transmission blocking and transmission control is 339, 100 and 12 respectively; In 2021, there were 29,037 patients with advanced schistosomiasis in China, 480 fewer than the previous year.
(4) prevention and control of endemic diseases. By the end of 2021, there were 330 counties (cities, districts) with Keshan disease in China, and 330 had been eliminated, with 4000 patients. There are 379 counties (cities, districts) with Kaschin-Beck disease, and 379 have been eliminated, with 172,000 patients. The number of counties (cities, districts) with iodine deficiency disorders was 2,799, and 2,799 were eliminated. There are 1,041 endemic fluorosis (drinking water type) counties (cities, districts), 953 under control, 73,902 endemic villages (neighborhood committees), 298,000 dental fluorosis patients aged 8-12 years and 66,000 skeletal fluorosis patients. There are 171 endemic fluorosis (coal-burning pollution) counties (cities, districts), with 171 under control, including 55,000 patients with dental fluorosis and 154,000 patients with skeletal fluorosis.
(5) Comprehensive prevention and treatment of chronic diseases. Implement strategies and measures for comprehensive prevention and treatment of chronic diseases, and innovate the mode of prevention and treatment of chronic diseases. By the end of 2021, 488 national-level demonstration zones for comprehensive prevention and control of chronic diseases have been built, and 2,855 counties (cities, districts) across the country have launched a nationwide healthy lifestyle campaign, and 605 death cause monitoring points and 2,085 tumor registration points have been established nationwide. In 2021, in 31 provinces (autonomous regions and municipalities directly under the Central Government) and Xinjiang Production and Construction Corps, 3.116 million high-risk groups were given early diagnosis and treatment of key cancers such as esophageal cancer, gastric cancer and liver cancer, 1.559 million people were screened in the cardiovascular and cerebrovascular disease screening intervention project, and 4.844 million people were given free oral examinations in the comprehensive intervention project for children’s oral diseases.
(6) Management services for severe mental disorders. Health departments at all levels shall, jointly with public security, civil affairs, disabled persons’ federations and other departments, improve the management service network for severe mental disorders. By the end of 2021, a service network for the management and treatment of severe mental disorders had been established in 31 provinces (autonomous regions and municipalities directly under the Central Government) and Xinjiang Production and Construction Corps. Under the guidance of mental health professional institutions, grassroots medical staff regularly followed up 6.331 million patients with severe mental disorders and provided rehabilitation guidance.
(seven) control of major diseases and health hazards. In 2021, monitoring of urban and rural drinking water quality will be carried out in all counties and districts of the country, with a total of 135,000 monitoring points and 270,000 water samples collected for water quality testing; Set up 167 monitoring points in 87 cities to monitor the impact of air pollution (smog) on people’s health; Monitoring points in public places were set up in 132 cities, and health hazard factors were monitored in 7240 public places.
In 2021, 8,710 schools in 1,606 counties (cities, districts) carried out monitoring of common diseases among students, with a total of 2.736 million people monitored; Myopia monitoring of children and adolescents was carried out in 2,307 kindergartens and 6,286 primary and secondary schools in 1,683 counties (cities, districts), with a total of 3.739 million people being monitored.
(8) Prevention and control of occupational diseases. By the end of 2021, there were 1022 occupational health technical service institutions, 605 radiological health technical service institutions, 23 chemical toxicity identification centers, 5067 occupational health inspection institutions and 588 occupational disease diagnosis institutions. The central government transferred local funds to build 671 pneumoconiosis rehabilitation stations (points), covering nearly 170,000 pneumoconiosis patients within its jurisdiction, and patients’ satisfaction with rehabilitation services reached 96%. In 2021, a total of 15,407 new cases of various occupational diseases were reported in China, including 11,877 cases of occupational pneumoconiosis and other respiratory diseases (including 11,809 cases of occupational pneumoconiosis), 2,123 cases of occupational otorhinolaryngology and oral diseases, 339 cases of occupational infectious diseases, 567 cases of occupational chemical poisoning, 283 cases of occupational diseases caused by physical factors, 83 cases of occupational skin diseases, 79 cases of occupational tumors and 43 cases of occupational eye diseases (including 5 cases of radiation cataract).
Seven, maternal and child health and healthy aging
(1) Maternal and child health care. In 2021, the prenatal check-up rate of pregnant women was 97.6%, and the postpartum visit rate was 96.0%. Compared with the previous year, the rate of prenatal examination and postpartum visit have improved. In 2021, the hospital delivery rate was 99.9% (100.0% in the city and 99.9% in the county), and all hospital deliveries were basically realized.
In 2021, the systematic management rate of children under 3 years old reached 92.8%, which was basically the same as that of the previous year; The systematic management rate of pregnant and lying-in women reached 92.9%, slightly higher than the previous year.
(2) Mortality rate of children under 5 years old. According to the national maternal and child health monitoring, in 2021, the mortality rate of children under 5 years old was 7.1‰ , in which: City 4.1‰ Rural 8.5‰ ; Infant mortality rate is 5.0‰ , in which: City 3.2‰ Rural 5.8‰ . Compared with the previous year, the mortality rate of children under 5 and infant mortality rate in China have decreased to varying degrees.
(3) Maternal mortality rate. According to the national maternal and child health monitoring, in 2021, the national maternal mortality rate was 16.1/100,000, including 15.4/100,000 in cities and 16.5/100,000 in rural areas. Compared with the previous year, the national maternal mortality rate has decreased.
(4) National free pre-pregnancy eugenics examination program. All counties (cities, districts) in China generally carry out free pre-pregnancy eugenics health check-ups, and provide free pre-pregnancy eugenics services such as health education, health check-ups, risk assessment, consultation and guidance for rural planned pregnant couples. In 2021, a total of 8.23 million planned pregnant couples were provided with free check-ups, and the average coverage rate of the target population reached 93.5%. All the screened risk groups received targeted counseling and treatment referral services, and pre-pregnancy preventive measures were implemented, effectively reducing the risk of birth defects.
(5) Promoting the combination of health services and medical care for the elderly. By the end of 2021, there were 6 national clinical medical research centers for geriatric diseases; There are 4,685 secondary and above general hospitals with geriatric departments, 5,290 general hospitals with geriatric friendly medical institutions, 15,431 primary medical and health institutions, and 1,027 medical and health institutions with hospice care (hospice care) departments. There are 78,000 pairs of medical and health institutions and old-age service institutions across the country that have signed cooperative relations; There are 6,492 medical and nursing institutions with complete two certificates (referring to the practice license or filing of medical institutions and filing of old-age care institutions). Jointly with the Ministry of Industry and Information Technology and the Ministry of Civil Affairs, the pilot demonstration of the application of smart and healthy old-age care in 2021 was carried out, and 35 demonstration enterprises, 2 demonstration parks, 45 demonstration streets (towns) and 17 demonstration bases were identified.
Eight, food safety and health supervision
(1) Food safety risk monitoring. According to the reports of provinces (autonomous regions and municipalities directly under the Central Government) and Xinjiang Production and Construction Corps, by the end of 2021, there were 2,778 food safety risk monitoring points nationwide, and 113,000 samples in 26 categories were monitored for pollutants and harmful factors; Food-borne diseases were monitored in 70,478 medical and health institutions, and 5,493 outbreaks of food-borne diseases were reported nationwide, with 32,334 cases and 117 deaths.
(2) Health supervision in public places. In 2021, there were 1.596 million public health supervision units and 8.061 million employees. 1.842 million times of supervision and inspection were conducted in public places, and 106,000 cases were investigated and dealt with according to law.
(3) Sanitary supervision of drinking water. In 2021, there were 104,000 supervised units for drinking water sanitation (water supply) in China, and 744,000 people were directly engaged in water supply and management. Supervise and inspect the sanitation (water supply) of drinking water for 130,000 times. There are 6,346 supervised units involving drinking water hygiene and safety products nationwide, with 125,000 employees. 7214 households were supervised and inspected for products related to drinking water hygiene and safety. 4,079 cases of drinking water and drinking water safety products were investigated and dealt with according to law.
(four) disinfection products and tableware centralized disinfection hygiene supervision. In 2021, there were 10,817 supervised units in disinfection products, with 212,000 employees. There were 31,000 supervision and inspections in disinfection products, and 12,673 samples were sampled, with a qualified rate of 96.8%. 2,529 cases were investigated and dealt with according to law. In 2021, there were 4,018 centralized disinfection service units for tableware and drinking utensils nationwide, with 44,000 employees. 8,797 households were supervised and inspected, and 1,475 cases were investigated and dealt with according to law.
(5) School health supervision. In 2021, there were 194,000 supervised schools nationwide, with 233,000 times of supervision and inspection and 7,329 cases investigated.
(6) Occupational health and radiation health supervision. By the end of 2021, the technical institutions of occupational health examination, occupational disease diagnosis and radiation health had been regularly supervised for 6,725 households, with a supervision coverage rate of 75.2%. 598 cases were investigated and dealt with according to law. There are 77,000 supervised units for radiation diagnosis and treatment, with a supervision coverage rate of 77.6%, and 86,000 times of regular supervision, and 7,705 radiation health cases are investigated and dealt with according to law.
(seven) health supervision of medical and health care, blood safety and prevention and treatment of infectious diseases. In 2021, 42,000 health administrative penalties were imposed on medical institutions or medical personnel according to law. Administrative punishment for practicing medicine without a license is 12,000. 57 administrative penalties were imposed on blood collection and supply institutions according to law. 79,000 cases of prevention and treatment of infectious diseases were investigated and dealt with according to law, including 79,000 cases of health administrative punishment.
(eight) maternal and child health supervision. In 2021, there were 20,000 supervised units for maternal and child health throughout the country, and 29,000 supervised and inspected units for maternal and child health, and 816 cases were investigated and dealt with according to law.
(nine) the employer’s occupational health and technical service institutions supervise law enforcement. In 2021, 200,000 employers were supervised and inspected nationwide, and 17,308 cases were investigated. In 2021, 1,042 occupational health technical service institutions were supervised and inspected nationwide, and 59 cases were investigated.
IX. Population and family development
The population born in 2021 was 10.62 million. The proportion of two children is 41.4%, the proportion of three children and above is 14.5%, and the sex ratio of the birth population is 110.9. In 2021, the reward and assistance system for some family planning families in rural areas benefited 16.314 million people; The special assistance system for family planning benefited 1.713 million people. A total of 24.08 billion yuan was invested in the "three systems" of family planning incentives and assistance, an increase of 1.68 billion yuan over the previous year; The central government invested 13.24 billion yuan, 750 million yuan more than the previous year.
