七省（区）126所医疗机构水银体温计和水银血压计及其替代产品使用现状调查及相关建议

Investigation and related suggestions on the use of mercury thermometer, mercury sphygmomanometer, and their substitutes in 126 medical institutions in 7 provinces (districts)

摘要:

目的对七个省（区）126所医疗机构水银体温计和水银血压计及其相应的替代品使用现状进行调查，为制定《关于汞的水俣公约》履约政策提供参考。方法选择东部、中部、西部地区共七省（区）的三级医院、二级医院及乡镇卫生院共计126所医疗机构，调查2013—2016年水银体温计和水银血压计及其替代品使用情况。结果截至2016年3月1日，126所医疗机构正在使用的水银体温计数量156 088支，医疗机构使用率为100.00%，每床位使用量为0.11支；使用的水银血压计数量为13 576台，医疗机构使用率为100.00%，每床位使用量为0.010台。正在使用的无汞体温计数量10 510支，2013—2015年依次每年分别有40所（31.75%）、50所（39.68%）、52所（41.27%）医疗机构在使用。正在使用的无汞血压计数量为8 266台；2013—2015年依次每年分别有85所（67.46%）、83所（65.87%）、87所(69.05%)医疗机构在使用。结论部分医疗机构已经开始少量使用无汞体温计和无汞血压计；制定《关于汞的水俣公约》履约政策应注意提高使用无汞替代产品意识并提供政策及经费支持等。

Abstract:

ObjectiveTo investigate the application status of mercury thermometer, mercury sphygmomanometer, and their corresponding substitutes in 126 medical institutions in 7 provinces (districts), provide reference for making performance policy of The Minamata Convention on Mercury. MethodsA total of 126 tertiary, secondary, and township medical institutions in 7 provinces (districts) in the eastern, central, and western regions were selected; mercury thermometer, mercury sphygmomanometer, and their substitutes used in 2013-2016 were investigated. ResultsUp to March 1, 2016, 156 088 mercury thermometers were used by 126 medical institutions, utilization rate was 100.00%, the daily use of each bed was 0.11 piece; 13 576 mercury sphygmomanometers were used, utilization rate was 100.00%, daily use of each bed was 0.010 piece. 10 510 mercuryfree thermometers were being used, 40(31.75%), 50(39.68%), and 52(41.27%) medical institutions used mercuryfree thermometers in 2013, 2014, and 2015 respectively. 8 266 mercuryfree sphygmomanometers were being used, 85（67.46%）, 83（65.87%）, and 87(69.05%) medical institutions used mercuryfree sphygmomanometers in 2013, 2014, and 2015 respectively. ConclusionSome medical institutions have started to use a small amount of mercuryfree thermometer and mercuryfree sphygmomanometer; the performance policy of The Minamata Convention on Mercury should pay attention to raising awareness of the use of mercuryfree alternatives as well as providing policy and financial support.