On-the-job check for hepatitis B ban not only stems from common sense and is still on the road

On February 12, the General Office of the Ministry of Health issued the “Notice on Further Regulating the Testing of Hepatitis B Project” requirement that medical institutions at all levels and all types of medical examinations for employment shall not provide testing for the hepatitis B project. (See "Beijing Times" on February 13, 2011)

The phenomenon of frequent and repeated prohibition of hepatitis B prohibition on entry to the job is quite worthy of study.

The state attaches great importance to the protection of hepatitis B surface antigen carriers ’enrollment and employment rights. The Employment Promotion Law, Education Law, Infectious Disease Prevention and Control Law, and other relevant laws and regulations have made relevant provisions. In 2007, the former Ministry of Labor Security and the Ministry of Health jointly issued the "Opinions on the Maintenance of the Employment Rights of Hepatitis B Surface Antigen Carriers", requiring employers to recruit, employ, in addition to national laws, administrative regulations and the Ministry of Health prohibited Outside of work, it is forbidden to forcefully use the serological indicators of hepatitis B virus as the medical examination standard. In February 2010, the Ministry of Human and Social Affairs, the Ministry of Education, and the Ministry of Health jointly issued the “Notice on Further Regulating the Admission and Employment Physical Examination Project to Maintain the Right to Admission and Employment of Hepatitis B Surface Antigen Carriers”, which further regulated the admission and employment physical examination program Clarify the responsibilities of employers, educational institutions, and medical and health institutions, strengthen government supervision functions, strengthen law enforcement inspections, and improve the feasibility and operability of policies. However, there are still many educational institutions and employers who conduct illegal inspections of hepatitis B virus serology at the time of enrollment and employment medical examination, and use the inspection results as the conditions for admission and recruitment, resulting in restrictions on the admission and employment of carriers of hepatitis B surface antigen carriers It still happens. According to the investigation report of the relevant agency, more than 60% of the large state-owned enterprises under investigation are still investigating hepatitis B. In this regard, the community strongly reflects on this. The Ministry of Health ban was issued against this background.

One of the important reasons for the repeated prohibition of the hepatitis B prohibition is that the misunderstanding about the spread of hepatitis B virus has not been completely eliminated. Medical clinics have proven that HBV transmission routes include blood transmission, mother-to-child transmission and contact, daily work or life contacts, such as working in the same office, shaking hands, hugging, living in a dormitory, dining in the same restaurant, and sharing toilets. Hepatitis B virus will not be transmitted through contact. Another reason is that some regions have not implemented relevant policies and regulations in place, and have supervised and inspected colleges, employers, and medical institutions, especially the penalties for violations are not strong enough. For example, the Beijing Municipal Human Resources and Social Security Department said in January that if the employer violated the regulations and used the hepatitis B virus serological indicators as the standard for medical examination, the Municipal Human Resources and Social Security Department would order corrections and impose a fine of less than 1,000 yuan. In the same month, the Guangzhou Municipal Health Bureau issued a notice of criticism to the hospital of the Guangdong Provincial Electric Power Bureau who illegally inspected hepatitis B and suspended the punishment decision to suspend the medical examination service. It should be said that the punishment of employers and medical institutions in Beijing and Guangzhou is undoubtedly an improvement over the past, but the punishment is obviously too light, just like tickling.

The prohibition of the detection of HBV infection markers in school entrance examinations and employment physical examinations is of great significance for maintaining fair enrollment and employment rights, promoting the maintenance of social stability, building harmonious interpersonal relationships, forming good social customs and promoting spiritual civilization. I hope that after this ban is issued by the Ministry of Health, schools, employers and medical institutions can no longer be regarded as ignorant. To do this, increasing supervision and punishment is an inevitable choice.

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