The Ruin of pneumoconiosis

This reporter fire Hing before the Ministry of Health data show that up to the end of 2009, the National cumulative report of occupational diseases in 722730 cases, of which 653,000 cases of pneumoconiosis.　　Pneumoconiosis cases accounted for more than 90% of the total number of occupational diseases. At the end of 2000, the number of pneumoconiosis cases was 558624 cases, the cumulative death was 133226 cases, the case fatality rate was 23.85%.　　This means that the number of pneumoconiosis cases in China continues to increase by more than 10000 a year. But this data does not include Gansu Gulang has not been diagnosed with the "Occupational disease Diagnosis Certificate" of 146 pneumoconiosis migrant workers, as well as the 11 people they have died, not including Sichuan Leshan has got the "Occupational disease Diagnosis Certificate," The 60 migrant workers, not including those who work with them, has not yet carried out occupational disease inspection　　, but they have the same condition of the workers, as well as the nearly hundreds of people who have died.　　The pain of pneumoconiosis February 16, 2011 around 7 o'clock in the evening, Gansu Gulang pneumoconiosis critically ill patients Ma Jiangshan due to illness aggravated transfer to Wuwei People's Hospital. 17th night, Ma Jiangshan through SMS told our correspondent: 12th, living in Gulang County People's Hospital, he had some cold, after the doctor's treatment, a cold better, but severe asthma. 15th, Wuwei experts let him transfer, but he has refused to transfer, because his biggest wish or wash the lungs.　　16th afternoon, daughter-in-law Liu see her husband Ma Jiangshan really asthma, find the Dean only decided to transfer. "For two nights he had been kneeling at the Gulang County People's Hospital bed and had no way to sleep," he said.　　"Ma Jiangshan's three elder brother Ma Shan accepts this reporter to interview, said:" The younger brother is very pitiful ... " "Every pneumoconiosis person must endure the suffering of this ordeal, must be difficult to walk through the final course of life." "Pneumoconiosis Experts Tongchuan Mining Bureau Center Hospital Occupational Disease, deputy chief physician Zhaoqingjong said," Pneumoconiosis is incurable, the current medical treatment, the best solution is to wash the lungs, lung can delay the patient's life expectancy, but also to alleviate patient pain.　　"Lung lavage, that is, large-capacity whole lung lavage, is currently mainly used to treat one stage, two pneumoconiosis, to remove some of the lung dust, improve lung function, delay the disease upgrade, improve the quality of life of patients, so that a large number of pneumoconiosis patients to recover self-care ability." Ma Jiangshan is three pneumoconiosis patients, due to serious lung lesions, the current 24 hours of basic oxygen maintenance.　　"Critically ill patients like him are no longer fit for lung surgery," Zhaoqingjong director Frank.　　Serious illness, can not carry out lung surgery, is the current concentrated outbreak of pneumoconiosis migrant workers the most real life portrayal, but also the most embarrassing scene of medicine. "Watching those patients lose their right to life because of the difficult medical problems, and as medical experts dedicated to the research of pneumoconiosis, our inner pain has never healed." "But as a long-term concern for the development of migrant workers and pneumoconiosis," said Zhou Xianghing, director of the Institute of Pneumoconiosis in Tongchuan Hospital, who has long been concerned about the research of peasant-pneumoconiosis, I would like to speak loudly: pneumoconiosis is fierce in mineDifficult！ The phenomenon of pneumoconiosis among peasant workers has become a social problem which cannot be neglected.　　"From the long-term concern of the peasant workers of pneumoconiosis in the south of Shaanxi Province, to the Zhang Haichao of the new chest lung examination in Henan, to the Gulang of" Ma Jiangshan "in Gansu Province, the more than 50-year-old Zhou Xianghing always put the peasant workers ' pneumoconiosis as a very important subject to study. He said, "I am also the son of a peasant, and I came out of a ravine." Migrant workers pneumoconiosis patients because of delayed treatment or no money treatment, is often a pneumoconiosis patients first to drag down a family, and then continue to poverty to the second generation, or even the third generation body, and finally in the period of young and sad to die.　　"Gulang Rescue mode according to the Gansu Province People's Society Hall news, since last year, Gansu has raised a special fund 11.08 million yuan, actively carry out Gulang County peasant pneumoconiosis Patients Rescue aid, at the same time for the relevant issues to carry out rectification and investigation.　　This is the December 2010 newspaper reporter through micro-blog to the public to send help information, netizens, the public and the media after the second good news.　　In netizens and the public actively donated more than 200,000 Yuan love, 3 people pneumoconiosis patients complete lung aspiration. January 18, Gulang pneumoconiosis Rights self-help Group was established, 7 Pneumoconiosis representatives once again set foot on the road to help.　　After receiving the support of the Central Hospital of Tongchuan Mining Bureau, the pneumoconiosis patients received the "Chinese business newspaper" and other media attention.　　20th, Wuwei allocated 1 million yuan of pneumoconiosis emergency treatment funds, and in two days to donate more than 3 million yuan for pneumoconiosis treatment. Subsequently, Jiuquan, Wuwei cities and Subei, Gulang two counties government a total cushion of 8 million yuan.　　At present, Gulang County pneumoconiosis patients Rescue and Relief fund total has reached 11.08 million yuan. This newspaper last January 20, the first reported Gulang Pneumoconiosis News, Gansu province and the relevant municipal government departments, and immediately launched to the Gulang County farmers to Subei County horse-horse-horse-work-related pneumoconiosis incident investigation and treatment and labor rights.　　Actively looking for 37 individual miners, and organize special law enforcement inspection, to urge workers to implement the system of occupational health inspection. The reporter learned from the Ministry of Labor Supervision of Gansu Provincial Bureau of Labour Inspection, horse-horse 460 mining area from 1984 to the end of 2006, there are 37 private mining owners to recruit their own migrant workers, as the owner of the mine left the mine, the relevant information is seriously missing, the relevant departments are still continuing investigations.　　Jiuquan People's Social Council to strengthen the law enforcement supervision of enterprises, in the city to carry out a standardized enterprise employment activities, the use of more agricultural workers mining enterprises, focus on labor and employment Supervision law enforcement work, standardize enterprise employment behavior, in order to effectively safeguard the legitimate rights and interests of workers.　　Kneeling on the dead group January 31, 2011, the 39-year-old Sichuan Leshan pneumoconiosis patients Wang Zuhua died.　　According to his relatives, Wang Zuhua died on his knees.　　Kneeling is the last posture of all pneumoconiosis patients. Wang's death to the "Occupational prevention and treatment of public welfare network," the head of Deng Lake there. Deng "always felt uneasy" and felt"I am sorry for the three period of pneumoconiosis patients Wang Zuhua." He thought, "If I had arranged my time well, maybe he would not have passed the spring festival."　　"Deng Lake is concerned about the Leshan 60 pneumoconiosis Group of the first person, the death of Wang Zuhua more determined his heart for the Leshan pneumoconiosis patients to pay attention to the determination."　　Because "found three pneumoconiosis representative Chen Xiezhong, Liu Guangmai and other migrant brothers serious illness and no money to cure", and "can not let them die at home," Old Deng end of the Gansu Gulang pneumoconiosis patients rescue work, and netizens "Lanzhou old order" meet, advance to Leshan "to find ways to let these serious patients to heal."　　In this newspaper the first disclosure of Gansu Gulang pneumoconiosis in-depth report, "Lanzhou Old Order" the first volunteer identity into the Gulang. "Because of the press reminders, the spring Gulang did not make effective action after the trip."　　"Bring up this matter," Lanzhou old make "regret unceasingly so far," did not think of, leave Gulang half time, die 3 person ... "The teacher is very careful, but also very difficult."　　"Mention this netizen, Xuan Ma Horse Brothers, the second Ma Junshan and third Ma Shan to the faltering middle-aged man's memory is particularly profound.　　Although due to leg disease mobility inconvenience, April 2010 This reporter to the second trip to Gulang Black Pine Town, "Lanzhou Old order" has visited a lot of pneumoconiosis patients home alone.　　"You can't let them die on their knees ..." This is the declaration of the Pneumoconiosis relief operation. "Those peasant brothers who are already living in trouble, in order to survive without the consequences of the way of labor, those heartless business owners and private bosses, in order to maximize the interests of the labour environment, regardless of the workers life and death of the labor conditions, those in the form of ineffective regulatory agencies, the work of inaction; Because of the diagnosis and treatment of delayed illness, those who work because of life, because there is no money to cure and other death-like helplessness; those related departments of mutual prevarication, Buck style of treatment ... Put a young adult labor force on the verge of ruin at the same time, also put a family to the brink of collapse, at the same time will be a simple issue of the protection of workers ' rights and interests, focus on superimposed into more prominent social problems.　　"The Lanzhou Old order" has many opinions on the pneumoconiosis problem after the network rescue activities have been carried out on the Gulang of Gansu Province and the Sichuan Leshan pneumoconiosis victims Group. "The population of pneumoconiosis is much larger than the official report, and 650,000 is a very conservative figure." "The head of the occupational disease Prevention and Control public Welfare network from a professional point of view of the increasingly large pneumoconiosis team," a lot of people like Gansu Gulang diagnosed without conclusions, such as the Leshan pneumoconiosis patients not reported after the diagnosis of patients, there are many like the Liangshan in Sichuan after the disease did not diagnose patients, And potential patients who were not in the incubation period, the potential patients were not included.　　"This huge group, at the end of life will be like Chen Dekin and Wang Zuhua, kneeling away from the world." The encounter of lead-zinc mine in the evening of February 18,Ward of Huaxi IV Hospital, Sichuan University.　　This reporter interviewed Leshan Muchuan County pneumoconiosis patients Chen Xiezhong and Liu Guangyu. Chen Xiezhong, a 38-year-old bachelor, is a villager at the Cannon House Village of Leshan Muchuan County.　　In March 1990, he followed his village partner to the Ganluo County lead-zinc mine in Liangshan Yi Autonomous Prefecture, under the age of 17. This is Chen Xiezhong the first time to go out to work, but also destined for the fate of life travel. After 13, he handed himself over to the lead-zinc mine.　　Until he found discomfort, he struggled with pneumoconiosis for 8 years. "It's a miracle he's alive."　　The coworker, is also the patient Liu Guangyu to say so.　　Chen Xiezhong said: "Sichuan Ganluo County bag Mining area, is a radius of 20 square kilometers of large mining area, there are red pu and bags two mining areas." "In 13 of the lead-zinc mine, I worked as an apprentice, except for the first month," he said. "Chen Xiezhong feebly said," Mine used are dry drilling, drill blasting dust is very large, there is no fan, as long as work, has been working in the dust. He said that the dust in the roadway is diffuse, very choking. 2.2 Meters of drill pipe, the miner's lamp does not shine to the place. Must have the helper's help, can find the accurate drill position.　　A class down, body a thick layer of dust. At that time, I felt that drilling and shooting is a technical work, easier than the back of the ore, but also more money. In this way, from 300 yuan one months, to the later 2000 Yuan, Chen Xiezhong changed 5 bosses, wages rose six or seven times times.　　Until the 2003 SARS period, Chen Xiezhong cough and vomiting blood did not go to lead-zinc mine.　　Until September 20, 2004, Muchuan County Xianxi Walled Village 36-Year-old villagers Shujijun died of pneumoconiosis, he realized that he had this terrible strange disease. Earlier, Chen Xiezhong in the Shanxi Yuncheng Tuberculosis hospital as tuberculosis treatment for nearly two years.　　The only 20,000 savings were spent, and the money was borrowed from the brothers and sisters. 2005, began to sell home valuable possessions.　　"All the things that can be sold are sold out, and they are not cured." 2006, the parents died, alone life and lost the ability to work Chen Xiezhong, monthly rely on 25 yuan subsistence.　　Later, 2008 increased to 50 Yuan, 2010, you can get 60 yuan. "Now the disease is getting heavier, but there is no money to cure it, and borrowing cannot be repaid." "He said," fortunately after two years of efforts, in April 2010 to obtain the "Occupational disease diagnosis Certificate," but because there is no relevant labor relations, the claim has no hope.　　"Difficult rights in the Liangshan state Ganluo County lead-zinc mine workers diagnosed as pneumoconiosis Leshan 60 pneumoconiosis migrant workers, Jianwei County 20 people, Mabian County 2 people, the most Muchuan County have 38 people."　　Muchuan County of pneumoconiosis peasant workers, Chen Xiezhong is located in the Wu San village has 15 people, Liu Guangyu Xianxi 17 people, built and township 5 people. Since Leshan Muchuan County first case of pneumoconiosis patients Shujijun September 20, 2004 died, Wang Zuqian, King, Du Zhengcai, Hu Qihua, He Yan, Shukichang, Shu Congyu, He Qingkai, etc. 9 in the Ganluo County lead-zinc mineWorking Muchuan County villagers died of pneumoconiosis. The shadow of death hangs over the mountain village.　　Deprived of the ability of the villagers to cut off the economic resources, poor mountainous areas of economic conditions not only restrict the treatment of patients, difficult and helpless families, many children are therefore out of school. At the beginning of 2004, villagers began to defend their rights to the county and district judicial bureaus.　　Although Muchuan County the Pneumoconiosis family into the minimum, the economic compensation capacity of a poor county is still limited. In April 2009, the patient jointly sought help from the Labor Department of Sichuan province.　　Provinces related departments to provide relevant documents for patients to find in Liangshan prefecture and Ganluo County to help rights, due to the inability to provide labor relations and occupational Disease Diagnosis Certificate, no results returned. October 16, Chen Xiezhong and Liu Guangyu Two people take the liberty to express the situation to the Ministry of Health.　　November 12, Sichuan Provincial Health Department petition office reply.　　After the provincial government coordination, April 14, 2010, Leshan CDC to Muchuan County 60 pneumoconiosis patients issued the "Occupational disease diagnosis Certificate."　　Together with Chen Xiezhong was 60 people elected as the representative of Liu Guangyu, is the Xianxi fence Village People. This pneumoconiosis patient has a similar experience with Chen Xiezhong.　　The two are still working together in the same mine as the same boss. In 2003, both were "unemployed" to return home because of Ganluo County's mining consolidation. But Liu Guangyu again in 2006 to Ganluo County Hong Zhao Mining company.　　And in the Liangshan state Public Security Bureau to carry out a special training after the "Demolition workers work permit", even more rare is the Liu Guangyu also retains the Hong-Zhao mining company Blasters Management card, induction card, training period of the regular invoices and a stack of thick collection of explosives out of the inventory list ...　　When the claim is made to Ganluo County, the other party does not acknowledge that it is refusing to pay for the illness while working for the company. The reason is its "Occupational disease Diagnosis Certificate" professional contact History noted: According to the Liu Guangyu provided by the readme material, Muchuan County and workers to prove that the November 1990-November 2003 Gulang County in the red-bag mining area engaged in blasting work, exposure to lead and zinc dust.　　The company's blasting work in the Hong-Zhao mines was 2006-2008.　　Because there is no labor contract, pneumoconiosis patients ' rights claim work encountered great resistance, and therefore at a standstill.　　The dignity of life. National Occupational disease Prevention and Control plan (2009-2015) It is pointed out that because of the late-onset and occult nature of occupational diseases, experts estimate that the actual occupational diseases in our country are greater than the reported quantity. In China, Pneumoconiosis is the most important occupational disease, accounting for about 80% of the total number of patients with occupational diseases, and more than 10,000 new cases are reported annually in recent years. Due to the wide range of occupational diseases, many small and medium-sized enterprises work in poor conditions, workers lack the necessary occupational disease protection. and pneumoconiosis and other chronic occupational diseases often difficult to cure, high disability rate, serious impact on the health of workers and even endanger life safety. Especially serious is that in recent years, the incidence of mass disease incidents occurred repeatedly. In recent years, Fujian province Xianyou County, AnhuiFengyang County and Gansu province Gulang, Sichuan Muchuan County peasant workers Pneumoconiosis and other events, one-time cause of dozens of or even hundreds of people sick, has become a public health problem affecting social stability. Analysts pointed out that the current outbreak of pneumoconiosis concentrated causes, mainly in the employer's responsibility is not implemented, enterprise production and management is not people-oriented, but serious mercenary, there are a large number of illegal activities. Second, the lack of government oversight, even negligence.　　Some local governments disregard the balance between economic development and workers ' right to life and health, fail to integrate occupational disease prevention into local economic and social development planning, and some local and departmental supervision is fictitious, even collusion, profiting from it. The personage pointed out that, under the premise that the current laws and regulations are perfect, the most prominent is the occupational disease diagnosis and the protection of the migrant workers, individual local governments and government departments deliberately set the threshold to complicate social problems and disregard national laws and regulations.　　This accumulation of social problems will not only push patients to life's desperation, but also suspected of condoning the continuation of illegal activities. In Gansu Gulang rescue operation, launched micro-blog Rescue netizens think: "Employing units illegal cost is very low, is the most prominent contradiction of pneumoconiosis." "Life is above all." Under the legal framework, the legal responsibility of the owners of illegal business is investigated, especially the criminal liability. As Zhou Xianghing, director of the Institute of Pneumoconiosis, a center hospital of Tongchuan Mining Bureau, said in his paper, "The Problem of pneumoconiosis among peasant workers ' groups is worrying": We have compassion, more worries. If our employing units can put themselves in a position to provide migrant workers with the National Occupational health standards of the workplace, if our occupational health body can be timely, more regularly for migrant workers on the job before, post, after the post, if the local medical institutions can more than a few pneumoconiosis diagnosis knowledge, If our medical institutions can reimburse the workers for some medical expenses, if the workers themselves can have more personal protection knowledge ...　　such as Chen Dekin, Zhang Haichao, Ma Jiangshan, Chen Xiezhong and more people with pneumoconiosis can be less and less. It's not the end of the end. The sequelae of China's rapid economic development brings about a large-scale outbreak of agricultural workers ' occupational diseases, and how to solve the problem of rescuing migrant workers in the case of long time for the road of compensation for the rights of the right.　　While the government pursues GDP, how to let the pneumoconiosis peasant workers die with dignity? To the Gulang pneumoconiosis Rescue, in the media intervention, netizens Echo, the folk charity's joint effort, although the government function department is late. But the end result is still worth affirming, "Gulang rescue mode" can also be replicated for other regions, that is, in the context of the collection of evidence, positive rights, by the Government to all migrant workers to carry out a physical examination, to determine the specific number of patients and disease, relief by the Civil Affairs Department, to consider for the brink of the Pneumoconiosis family for the poor In Wuwei region The Doctor is also "0 payment", to give them the most substantial help. Funding, consisting of government funding and social donations, with limited local financial resources, the largestThe limit to solve the relief shortfall, the first to solve the current most important saving problems, as for the accountability and compensation can be phased forward. Gulang County in the treatment of funds in place, according to the "Occupational disease prevention and Control Law" on the occupational disease patients to carry out regular physical examination of the relevant provisions, and screening to determine the implementation of lung lavage patients, a special meeting on pneumoconiosis patients with recheck and lung lavage before the health examination of the work of research and deployment, the introduction of pneumoconiosis patients with recheck, preoperative physical examination,　　Plan for the operation of lung lavage.　　From February 11 onwards, the Gulang County arrangement by the Labor, health department and the Black Pine town and other relevant towns and villages responsible for the organization of pneumoconiosis patients with recheck and lung lavage surgery before the occupational health examination. Although everything is proceeding in a step-by-step manner, Ma Jiangshan, who is in urgent need of treatment, is still not out of the rough. Because of illness aggravating, Ma Jiangshan had to transfer Wuwei People's Hospital for treatment. Although the idea of Ma Jiangshan himself as "dead or Alive" is now somewhat inconsistent with medical conditions, the best treatment for the most critical pneumoconiosis patients is not just the idea of the patient, but also the common aspiration of all rescuers.