The implementation plan of cancer prevention and control action is released： the disease burden of patients will be effectively controlled by 2030.
CCTV News:According to the website of National Health Commission, a few days ago, 13 departments including the National Health and Health Commission released "Healthy China Action — Implementation plan of cancer prevention and control action (2023— 2030)》。 The goal of the implementation plan is that by 2030, the cancer prevention and control system will be further improved, the ability of comprehensive prevention and control of risk factors, cancer screening and early diagnosis and treatment will be significantly enhanced, the level of standardized diagnosis and treatment will be steadily improved, the rising trend of cancer incidence and mortality will be curbed, the overall 5-year survival rate of cancer will reach 46.6%, and the disease burden of patients will be effectively controlled.
Healthy China Action — Cancer prevention and control action
Implementation plan (2023— 2030)
In order to implement the decision-making arrangements of the CPC Central Committee on implementing the strategy of healthy China, and the requirements of the State Council’s Opinions on Implementing Healthy China Action and Healthy China Action (2019-2030), in Healthy China Action — Based on the phased work results of the Cancer Prevention and Control Implementation Plan (2019-2022), this plan is formulated to further promote the high-quality development of cancer prevention and control.
I. General requirements
(1) Guiding ideology. Guided by Socialism with Chinese characteristics Thought of the Supreme Leader in the New Era, we will fully implement the spirit of the 20th Party Congress, adhere to the people-centered development thought, promote the construction of a healthy China, and give priority to the protection of people’s health. Firmly establish the concept of great health and great health, adhere to prevention first, combine prevention with treatment, pay equal attention to both Chinese and Western medicine, make comprehensive policies and manage the whole process, innovate institutional mechanisms and working modes based on the whole population, the whole life cycle and the whole society, promote the advancement of cancer prevention and control, advocate a healthy lifestyle, popularize health knowledge, mobilize the masses to participate in cancer prevention and control, and strengthen cancer prevention, screening, early diagnosis and treatment and scientific research. Concentrate superior forces to make key breakthroughs in key links such as pathogenesis, prevention and control technology, resource allocation and policy guarantee, effectively reduce the harm of cancer, and lay a good foundation for improving people’s health and well-being and building a healthy and shared China.
(2) Main objectives. By 2030, the cancer prevention and control system will be further improved, the ability of comprehensive prevention and control of risk factors, cancer screening and early diagnosis and treatment will be significantly enhanced, the level of standardized diagnosis and treatment will be steadily improved, the rising trend of cancer incidence and mortality will be curbed, the overall five-year survival rate of cancer will reach 46.6%, and the disease burden of patients will be effectively controlled.
Second, control risk factors and reduce the risk of cancer  
(3) Promoting health for all. Build an authoritative platform for the dissemination of popular science information, and compile and publish the core information and knowledge points of cancer prevention and control. In-depth organization to carry out national cancer prevention publicity week and other activities, popularize the knowledge of cancer prevention and health science, and raise the awareness of cancer prevention and cancer prevention of the whole people. Take cancer prevention knowledge as an important health education content in schools, medical and health institutions, enterprises, communities and old-age care institutions. Strengthen publicity and education on cancer prevention and treatment of rural residents. By 2030, the awareness rate of core knowledge of cancer prevention and treatment will reach over 80%. Actively promote the action of healthy lifestyle for all. Scientifically guide the public to carry out self-health management. Strengthen the education of teenagers’ health knowledge and behavior. Actively promote the construction of a smoke-free environment, carry out in-depth tobacco control publicity, strengthen smoking cessation services, widely ban tobacco advertising, and continue to promote tobacco control measures. (Led by the National Health and Wellness Commission, with the cooperation of the Ministry of Education, the Ministry of Civil Affairs and other relevant departments)
(4) Reduce cancer-related infections. Promote personal hygiene and prevent the infection of bacteria (such as Helicobacter pylori) and viruses (such as human papillomavirus, hepatitis virus, EB virus, etc.) related to cancer. Strengthen the hepatitis B vaccination work for adults with high risk of hepatitis B virus infection. Strengthen the scientific propaganda of human papillomavirus (HPV) vaccination, promote the vaccination of school-age people, and promote the inclusion of HPV vaccination in local policies to benefit the people in areas where conditions permit. Accelerate the review and approval of domestic HPV vaccines that meet the requirements, improve the accessibility of HPV vaccines, and ensure vaccination of school-age people through various channels. (The National Health and Wellness Commission, the National Bureau of Disease Control and Prevention, and National Medical Products Administration are respectively responsible)
(5) Strengthening environmental and health work. Strengthen water ecological protection and ensure the safety of drinking water. Ensure the soil environmental safety of agricultural land and construction land. Promote a significant improvement in air quality. Promote the use of clean fuels, and prohibit the use of projects that fail to pass the acceptance of indoor environmental quality. Strengthen the monitoring and evaluation of environmental health impacts such as drinking water, atmosphere and soil, which are closely related to people’s health, study and establish an environmental and health investigation and risk assessment system, strengthen the construction of a national environmental health risk monitoring system, and promote environmental health risk management. Carry out patriotic health campaign in depth and promote comprehensive improvement of urban and rural environmental sanitation. (The Ministry of Ecology and Environment, the State Bureau of Disease Control and Prevention, and the State Health and Wellness Commission take the lead, with the cooperation of relevant departments)
(6) Promoting the prevention and treatment of occupational tumors. Deepen occupational health protection actions, promote the construction of healthy enterprises, and ensure the physical and mental health of workers. The employer shall organize regular detection of occupational hazards in the workplace, occupational health examination of workers and individual protection management according to laws and regulations, and fully implement the main responsibility of occupational disease prevention and control. (Led by the National Health and Wellness Commission, with the cooperation of the National Bureau of Disease Control and other relevant departments)
Third, improve the cancer prevention and treatment service system and strengthen information sharing.
(7) Improve the high-quality cancer prevention and control system. Further strengthen the capacity building of cancer prevention and control institutions and improve the national-provincial-prefecture-county four-level cancer prevention and control network. Promote the establishment and construction of national regional medical centers focusing on oncology. Relying on existing resources, all localities have promoted the establishment of cancer prevention and treatment institutions at the prefecture-level and county-level levels. Promote the expansion, sinking and balanced distribution of high-quality cancer prevention and treatment resources, and further improve the cancer prevention and treatment capabilities in the central and western regions and grassroots through the project to improve the diagnosis and treatment capabilities of difficult diseases, the construction of key specialties, and the counterpart support of urban and rural hospitals. Strengthen the construction of tumor specialty in county-level hospitals and improve the homogenization level of cancer prevention and treatment. Encourage specialized oncology hospitals with strong professional skills to provide technical assistance in areas where cancer patients flow out more, and improve the overall cancer prevention and control ability in areas with insufficient resources by exporting talents, technologies, brands and management. (Led by the National Health and Wellness Commission, coordinated by the National Development and Reform Commission and the State Administration of Traditional Chinese Medicine)
(8) Strengthening cooperation among cancer prevention and control institutions. Give full play to the role of national cancer center, national regional medical center focusing on oncology and other medical institutions and disease control institutions, strengthen coordination and further improve the cancer prevention and control cooperation network. Strengthen technical support and talent assistance for cancer prevention and treatment, explore and promote appropriate prevention and treatment technologies and service models, and improve the overall level of cancer prevention and treatment. The National Cancer Center and the provincial cancer prevention and control centers have strengthened leadership and technical research, and explored and carried out cancer prevention and control work with complicated problems and high technical requirements. The qualified secondary and above hospitals set up oncology departments, which can carry out cancer screening and general diagnosis and treatment of common multiple cancers. Further strengthen the construction of various forms of medical associations such as cancer-related specialist alliances. Disease control institutions at all levels should strengthen the monitoring of cancer risk factors, epidemiological investigation, crowd intervention and information management. Strengthen the integration of medical care and prevention, and strengthen the communication and cooperation between various medical and health institutions at all levels in publicity and education, health consultation and guidance, screening of high-risk groups, and health management. (Responsible by the National Health and Wellness Commission)
(nine) to further improve the standardization and institutionalization of tumor registration reports. Cancer registration centers at all levels strengthen the organization and implementation of cancer registration in their respective jurisdictions, and medical and health institutions at all levels perform the duties of tumor registration and reporting. Improve the cancer registration report information system, quality control standards and evaluation system, and improve the efficiency and quality of the report. By 2030, all counties and districts will be covered by cancer registration, and no less than 1,145 national cancer registration offices will be established. Piloting high-precision tumor registration, and strengthening the collection of information such as cancer in situ, pathological classification and clinical staging. (The National Health and Wellness Commission and the State Administration of Traditional Chinese Medicine are respectively responsible)
(ten) to promote the sharing of cancer prevention and control information resources. Gradually realize the docking of tumor registration information and cause of death monitoring information, and optimize the way of data collection and submission. Strengthen the sharing of information resources between departments and improve the ability of survival analysis and prediction of morbidity and mortality trends. Standardize information management to protect patients’ privacy and information security. (The National Health and Wellness Commission and the State Administration of Traditional Chinese Medicine are respectively responsible)
Fourth, promote early diagnosis and treatment of cancer and strengthen the long-term screening mechanism.
(eleven) improve and promote the guidelines for early diagnosis and treatment of key cancers. For key cancers such as gastric cancer, esophageal cancer, colorectal cancer, cervical cancer, breast cancer and lung cancer with high incidence and relatively mature screening methods and technical schemes, we will organize and improve a series of technical guidelines for screening, early diagnosis and early treatment, and promote them throughout the country to further improve the level of standardized cancer prevention and treatment. (Responsible by the National Health and Wellness Commission)
(12) Further promote early cancer screening, early diagnosis and early treatment. All localities have gradually expanded the coverage of screening, early diagnosis and early treatment for cancers with high incidence, good cost-effectiveness in early treatment and simple screening methods. Optimize the management mode of cancer screening, continue to support county-level hospitals to build "cancer screening and early diagnosis and early treatment centers", and further improve the ability of early screening, early diagnosis and early treatment. Strengthen the connection between screening and early diagnosis and treatment, improve service continuity, and refer screened cancer patients to relevant medical institutions in time to improve the effect of early diagnosis and treatment. The early diagnosis rate of key cancer species in high-incidence areas has been continuously improved, the screening rate of cervical cancer among school-age women has reached 70%, and the screening coverage rate of breast cancer has gradually increased. (Led by the National Health and Wellness Commission and coordinated by the Ministry of Finance)
(thirteen) to build a hierarchical cancer screening system. Continue to carry out organizational screening in areas with high cancer incidence and high-risk populations. On this basis, according to the epidemic situation of cancer in this region, all localities have carried out opportunistic screening of cancer, and constantly increased screening efforts and expanded coverage. Research and development of cancer risk assessment tools and strengthen training and guidance, grassroots medical and health institutions gradually provide cancer risk assessment services, so that residents know their own cancer risks. Further strengthen the standardized management of anti-cancer physical examination, guide high-risk groups to receive regular anti-cancer physical examination, strengthen the follow-up management of suspected cases, and intervene in time for early cancer or precancerous lesions. (Responsible by the National Health and Wellness Commission)
Five, standardize the diagnosis and treatment of cancer, improve the level of management services.
(fourteen) to strengthen the standardized management of diagnosis and treatment. Further improve the guidelines for clinical diagnosis and treatment of cancer, technical operation specifications and clinical pathways. Strengthen the management of clinical application of anti-tumor drugs, improve the construction of national monitoring network for clinical application of anti-tumor drugs, and carry out monitoring and evaluation of tumor drugs. Optimize the medication guide, and improve the prescription review and results publicity system. Do a good job in patient rehabilitation guidance, pain management, long-term care, nutrition and psychological support. (Responsible by the National Health and Wellness Commission)
(fifteen) to strengthen the quality control of diagnosis and treatment. Consolidate and improve the national-provincial-prefecture-county four-level quality control management system for tumor diagnosis and treatment, and carry out quality control for single-disease diagnosis and treatment of tumors. Through the systematic collection, analysis and feedback of quality information related to tumor diagnosis and treatment, the relevant indicators of tumor diagnosis and treatment quality are continuously monitored to promote the continuous improvement of tumor diagnosis and treatment quality. (Responsible by the National Health and Wellness Commission)
(sixteen) optimize the diagnosis and treatment mode. We will continue to promote the multidisciplinary diagnosis and treatment model, improve the ability of cancer-related clinical specialties, explore the construction of specialized disease centers based on cancer diseases, actively use technologies such as the Internet and artificial intelligence to carry out telemedicine services, explore the establishment of standardized diagnosis and treatment auxiliary systems, and improve the ability of diagnosis and treatment at the grassroots level. (Responsible by the National Health and Wellness Commission)
Six, promote the innovation of integrated traditional Chinese and western medicine, and give play to the unique role of traditional Chinese medicine.
(seventeen) to strengthen the construction of cancer prevention and treatment network of traditional Chinese medicine. Further improve the service system of cancer prevention and treatment of traditional Chinese medicine, and build a cancer prevention and treatment network of integrated traditional Chinese and western medicine. Strengthen the construction of oncology department in Chinese medicine hospitals, support general hospitals and cancer specialist hospitals to provide Chinese medicine diagnosis and treatment services for cancer, and incorporate Chinese medicine prevention and treatment of cancer into the service scope of primary medical institutions. (led by the State Administration of Traditional Chinese Medicine and coordinated by the National Health and Wellness Commission)
(eighteen) to improve the ability of Chinese medicine prevention and treatment of cancer. Formulate and improve the technical scheme for prevention and treatment of cancer with traditional Chinese medicine, popularize and apply mature techniques and methods for prevention and treatment of cancer with traditional Chinese medicine, explore and innovate cancer diagnosis and treatment models that conform to the theory of traditional Chinese medicine, and train professionals for prevention and treatment of cancer with traditional Chinese medicine. Accelerate the quality control of TCM diagnosis and treatment of tumors, and improve the standardization and homogenization level of TCM cancer prevention and treatment. We will expand the pilot project of clinical cooperation between Chinese and Western medicine for cancer, explore new ideas, methods and models for the prevention and treatment of cancer with the combination of Chinese and Western medicine, and form and popularize the diagnosis and treatment plan with the combination of Chinese and Western medicine. In the multidisciplinary diagnosis and treatment of tumors, standardize the treatment of traditional Chinese medicine and give full play to the unique role and advantages of traditional Chinese medicine. (led by the State Administration of Traditional Chinese Medicine and coordinated by the National Health and Wellness Commission)
(nineteen) to strengthen the prevention and early intervention of cancer. Give play to the role of traditional Chinese medicine in "preventing diseases", study and sort out the knowledge of cancer prevention of traditional Chinese medicine and incorporate it into the service content of the national basic public health education project. Comprehensive use of modern diagnosis and treatment technology and TCM physique identification methods, early detection of high-risk groups, promotion of TCM intervention guidelines for prevention of diseases, and actively carry out comprehensive intervention of Chinese and Western medicine for precancerous lesions. (led by the State Administration of Traditional Chinese Medicine and coordinated by the National Health and Wellness Commission)
Seven, strengthen the protection of rescue and treatment, and reduce the burden of medical treatment for the masses.
(twenty) to strengthen the comprehensive medical security. Timely settlement of medical insurance benefits for cancer patients according to regulations. Encourage qualified commercial insurance institutions to develop commercial health insurance products related to cancer prevention and control, and guide charitable organizations to actively carry out medical assistance for cancer patients. (The State Medical Insurance Bureau, the General Administration of Financial Supervision and relevant departments are responsible)
(twenty-one) to improve the accessibility of anti-tumor drugs. Establish and improve the clinical comprehensive evaluation system of anti-tumor drugs. Encourage the imitation of clinically necessary anti-tumor drugs, include them in the catalogue of encouraged imitation drugs according to procedures, and guide enterprises to develop, register and produce. Accelerate the registration and approval of qualified domestic and foreign anti-tumor drugs, promote the simultaneous listing of new overseas drugs in China, and unblock the temporary import channels of clinically urgently needed anti-tumor drugs. We will improve the dynamic adjustment mechanism of the medical insurance drug list, incorporate qualified anti-tumor drugs into the medical insurance drug list according to procedures, and carry out centralized drug procurement in a timely manner to ensure the demand for clinical drugs and reduce the burden on patients. (National Medical Products Administration, the National Medical Insurance Bureau and the National Health and Wellness Commission are respectively responsible)
(twenty-two) to strengthen the prevention and treatment of cancer in poverty-stricken areas. We will improve the dynamic monitoring and assistance mechanism to prevent returning to poverty, include the population at risk of returning to poverty due to illness into the scope of monitoring and assistance, and implement various treatment and medical insurance policies. Strengthen the prevention and treatment of cancer in poverty-stricken areas such as key counties for national rural revitalization, and strengthen cancer screening and treatment of key cancers. (The National Health and Wellness Commission, the Ministry of Agriculture and Rural Affairs, and the National Medical Insurance Bureau are respectively responsible, and all relevant departments cooperate)
Eight, accelerate major scientific and technological research, promote the transformation of innovation achievements.
(twenty-three) to strengthen the construction of cancer related disciplines. Improve the structure of talent education and improve the multi-level training system for cancer prevention and treatment personnel. Adjust and optimize the specialty settings of cancer-related disciplines, focus on cultivating multidisciplinary talents and leading talents, and promote the cross-integration of disciplines in related fields. To improve the layout of professional degree authorization points in cancer-related disciplines, it is required that the stock plan of colleges and universities tilt to arrange doctoral training in key fields such as cancer research, and new plans are given priority. Appropriately increase professional enrollment plans and professional personnel training in the fields of cancer radiotherapy and chemotherapy, imaging, pathology, prevention, nursing, rehabilitation, hospice care and children’s tumor. Strengthen the mastery of cancer prevention knowledge and skills of medical and health personnel. (The Ministry of Education, the National Development and Reform Commission and the National Health and Wellness Commission take the lead, and all relevant departments cooperate)
(twenty-four) concentrate on accelerating scientific research. Further strengthen scientific and technological innovation for weak links in the national science and technology plan. Focusing on supporting key technological breakthroughs such as cancer prevention and control, and focusing on "accuracy, regeneration and wisdom", we will strengthen major source innovation and subversive technological innovation in cancer prevention and control, and lead the cancer prevention and control technology to achieve original breakthroughs. Strengthen the scientific and technological demonstration of cancer-related advanced diagnosis and treatment technology, clinical guidelines and specifications, screening programs, etc., and accelerate the popularization of scientific and technological innovation services. At the same time, we will strengthen scientific research on the prevention and treatment of cancer with traditional Chinese medicine and organize evidence-based evaluation research on the treatment of cancer with traditional Chinese medicine and integrated traditional Chinese and western medicine. Support the research and development, transformation and application of Chinese medicine preparations, new Chinese medicine and Chinese medicine diagnosis and treatment equipment for cancer prevention and treatment. Give full play to the role of national laboratories, national medical centers, national clinical medical research centers and other scientific and technological forces, strengthen the quality evaluation of clinical research, promote the transformation of clinical research results, and continuously improve the overall scientific and technological level of cancer prevention and treatment in China. (The Ministry of Science and Technology, the National Health and Wellness Commission and the State Administration of Traditional Chinese Medicine are respectively responsible)
(twenty-five) to strengthen the popularization and application of scientific research achievements in cancer prevention and treatment. Accelerate the application of basic frontier research results in the development of clinical and health industries, and promote breakthroughs in cancer vaccine development, immunotherapy technology and biotherapy technology. Promote the construction of a number of research achievements transformation and promotion platforms, explore effective ways to promote and industrialize cancer research achievements, and support cooperation with enterprises by means of intellectual property rights and technology elements. (The Ministry of Science and Technology and the National Health and Wellness Commission are respectively responsible)
Nine, organize the implementation
(twenty-six) to strengthen organizational leadership. All localities should establish and improve the leadership and coordination mechanism for cancer prevention and control, form a joint effort, study and formulate specific work plans, strengthen organization and implementation, and comprehensively guide to ensure that all work objectives are achieved as scheduled. All localities have implemented financial investment according to regulations, actively encouraged social capital to invest in cancer prevention and treatment, promoted the establishment of diversified fund-raising mechanisms, and concentrated all forces to provide support and guarantee for promoting cancer prevention and treatment. (All relevant departments are responsible according to the division of responsibilities)
(27) Strengthen overall coordination. All localities should strengthen the organic combination and overall promotion of cancer prevention and control actions and other relevant special actions of Health China. All relevant departments should strengthen the overall planning and coordination of resources, improve the working mechanism, fully mobilize the enthusiasm of the whole society to participate in cancer prevention and control, and vigorously create a social environment conducive to cancer prevention and control. (All relevant departments are responsible according to the division of responsibilities)
(twenty-eight) to strengthen supervision and implementation. Local health administrative departments shall, jointly with relevant departments, supervise and implement the objectives and tasks of prevention and control work in this area. The National Health and Wellness Commission and relevant departments shall evaluate the implementation of prevention and control measures and comprehensively evaluate the implementation effect of policies and measures. (The National Health and Wellness Commission takes the lead and all relevant departments cooperate)