目前,绝大多数乡镇卫生防疫组或防保科(下称乡镇防疫机构)都是卫生院的内设科室,而在宏观上却是当地乡镇的防疫工作中心。近年来,各地乡镇防疫工作改革的模式很多,但推广成功的例子似乎不多。笔者认为,主要是没有解决好影响其改革的几个关键问题,包括乡镇防疫机构的职能模式、管理和政策扶持等。可见,如何解决这些问题以确保乡镇防疫工作的顺利进行是值得我们思考的。1 农村防疫工作的新变化 (1)卫生法律法规的颁发实施和各行各业的高速发展,使卫生监督、监测任务不断加重。例如,新塘 At present, the vast majority of township health and disease prevention units or prevention and control departments (hereinafter referred to as township anti-epidemic agencies) are internal departments of the hospitals, but in the macro-level they are the epidemic prevention centers of local townships. In recent years, there have been many models for the reform of epidemic prevention in townships and townships, but there are few examples of successful promotion. The author believes that the main problem is not solved several key issues affecting its reform, including the function model, management and policy support of the township anti-epidemic agencies. It can be seen that how to solve these problems in order to ensure the smooth progress of the township prevention work is worth our consideration. 1 New changes in the rural epidemic prevention work (1) The issuance and implementation of health laws and regulations and the rapid development of all walks of life have led to an ever-increasing health supervision and monitoring task. For example, Xintang