Comprehensive prevention and control of myopia to protect the bright future of children and adolescents

  editorial comment/note On August 30, 2018, the Ministry of Education and other eight departments issued the "Implementation Plan for Comprehensive Prevention and Control of Myopia in Children and Adolescents". In the past four years, all parts of the country have attached great importance to it and adopted a series of innovative measures, which have achieved positive results in the prevention and control of myopia among children and adolescents. In order to further implement the spirit of the important instructions of the Supreme Leader General Secretary on the prevention and control of myopia among children and adolescents, and continue to promote the implementation of the requirements of the Implementation Plan, this issue specially invites relevant responsible comrades from the education departments of some provinces (autonomous regions and municipalities directly under the Central Government) to write articles and share their experiences in preventing and controlling myopia among children and adolescents in this region.

  Adhere to the concept of "health first" and strictly implement the policy of "double reduction"

  Zhao Zhenhua, Deputy Secretary of Education Working Committee of Anhui Provincial Committee of the Communist Party of China and Director of Education Department.

  The Anhui Provincial Department of Education has always adhered to the educational concept of "health first", effectively played the leading role, continuously intensified its work, compacted the main responsibility, and achieved positive results in the comprehensive prevention and control of myopia among children and adolescents.

  Strengthen the mechanism and gradually improve the top-level design. In January 2019, Anhui Province issued an implementation plan for prevention and control of myopia at the provincial level. Deploy and implement the Work Plan of Bright Action for Prevention and Control of Myopia in Children and Adolescents (2021— In 2025), it is required to clarify the division of responsibilities of provincial departments and units; Regular joint meetings on comprehensive prevention and control of myopia among children and adolescents in the province have been held, and a daily work implementation mechanism consisting of 14 departments and units including the Provincial Department of Education, the Provincial Health and Wellness Commission, the Provincial Sports Bureau and the Provincial Market Supervision Bureau has been established, which has promoted the formation of a unified leadership of the government, close cooperation between departments and the participation of the whole society.

  Build a team and constantly strengthen publicity and guidance. The establishment of Anhui primary and secondary school students’ vision health management center and provincial health education and teaching steering committee will give full play to the role of experts in consulting, researching and guiding the prevention and control of myopia among children and adolescents; Continue to strengthen the professional training of full-time health technicians in schools, and train a total of 30,700 health professionals and child health professionals; In the province’s primary and secondary schools to carry out the selection of part-time vice presidents of health, currently equipped with 8725; Established a provincial-level comprehensive prevention and control group of children and adolescents’ myopia experts, and carried out more than 500 thematic publicity activities.

  Reduce the burden and strictly implement the "double reduction" policy. We will issue the Implementation Plan of Anhui Province to Reduce the Overweight Academic Burden of Primary and Secondary School Students, the Implementation Opinions on Standardizing the Development of Off-campus Training Institutions, and the Implementation Plan of Anhui Province to Further Reduce the Homework Burden of Students in Compulsory Education and the Off-campus Training Burden, and improve the policy system of "double reduction". Compulsory education schools in the province have established a system of homework publicity, and the proportion of homework control time reaching the standard is 100%. At present, there are 4,750 online and offline discipline training institutions in the province that have been transformed or cancelled, with the reduction rates reaching 100% and 94.02% respectively, and 302 "reform from business to non-business", with a completion rate of 100%, and all kinds of chaos in off-campus discipline training have been basically eliminated.

  Increase exercise and further promote the integration of sports and education. Issued "Several Measures on Comprehensively Strengthening and Improving School Physical Education in the New Era", deployed all over physical education class, fully implemented sports homework, carried out eye exercises twice a day and 30-minute recess activities, encouraged students to participate in sunshine sports, and guaranteed students one hour of physical activity time inside and outside the school every day. According to incomplete statistics, 2018 — In 2021, organize more than 200 provincial youth sports competitions; More than 1,150 youth sports activities were carried out, with 765,000 participants. Youth sports winter and summer camps and parent-child sports were held, and more than 200,000 children and adolescents enjoyed the fun brought by sports.

  Grasp synergy and focus on strengthening the linkage between home and school. It is the first in the country to release a series of teaching videos of "Guidelines for Prevention and Control of Myopia in Pre-school, Primary School and Middle School" to raise parents’ awareness of prevention and control and their initiative and enthusiasm in participating in prevention and control work, guide children and adolescents to establish a good awareness of vision health, and strive to achieve "full-time" coverage of myopia prevention and control; Through the parent committee, parent school and other platforms, guide parents to guide their children to engage in outdoor activities or physical exercise.

  Strict assessment, strengthen the incentive and restraint mechanism. From 2020 onwards, we will carry out an annual evaluation of the prevention and control of myopia among children and adolescents in various municipal governments. At the same time, the myopia rate of children and adolescents will be included in the evaluation index framework of "Healthy Anhui Action", and the evaluation of the performance of municipal governments in fulfilling their educational duties and target management, and the supervision and evaluation of county (city, district) party and government leading cadres in fulfilling their educational duties. The physical and mental health of children and adolescents (including vision indicators) and the burden of schoolwork will be included in the provincial compulsory education quality monitoring outline and index system, and the scope of school health supervision in the province.

  Strengthen overall planning and establish a long-term mechanism for myopia prevention and control

  Liu Youyi, Secretary of Education Working Committee of Guangxi Zhuang Autonomous Region Party Committee, Party Secretary and Director of Education Department

  Guangxi Zhuang Autonomous Region has done a solid job in the prevention and control of myopia and made progress in stages. In 2021, the overall myopia rate of children and adolescents in the region decreased by 1.2 percentage points compared with 2020.

  Adhere to the linkage from top to bottom, from left to right, and ensure that the prevention and control of myopia is focused on "combination". The Party committee and government of the autonomous region have incorporated the prevention and control of myopia into major strategic plans such as "Healthy Guangxi" and "Guangxi Education Modernization 2035", and taken various measures to accelerate the construction of a "chess game" pattern of prevention and control in the whole region. The establishment of a leading group for myopia prevention and control led by the responsible comrades in charge of the autonomous region government; Establish and improve the three-level linkage working mechanism of autonomous regions, cities with districts and counties (cities, districts); Explore the establishment of a working model of "government-led, social participation, combination of prevention and treatment, and integration of medical education" to form a multi-sectoral collaborative service management network for prevention and control of myopia for children and adolescents; The Implementation Plan for Comprehensive Prevention and Control of Children and Adolescents’ Myopia in Guangxi and the Evaluation Method for Comprehensive Prevention and Control of Children and Adolescents’ Myopia in Guangxi (for Trial Implementation) were issued, which clarified the work objectives, task requirements, departmental responsibilities and safeguard measures, and incorporated the implementation into the assessment content of the people’s governments of cities and counties in fulfilling their educational responsibilities.

  Coordinate health appreciation, reduce burdens and reduce blood pressure, and ensure that the prevention and control of myopia is "normal". The autonomous region insists on incorporating myopia prevention and control into the quality monitoring and evaluation system of compulsory education, urges and guides schools to implement the contents of vision protection and myopia prevention and control in health education courses, produces animation courseware and bookmarks for myopia prevention, and continuously carries out publicity and education on eye health knowledge, effectively implementing the requirements of myopia prevention and control in classroom teaching and infiltrating into campus life. Vigorously promote the standardization of schools. Since 2018, a total of 46.49 billion yuan of special funds have been allocated to support the construction, renovation and expansion of 37,000 schools in various places. Fully implement the standard requirements of physical education class hours in primary and secondary schools, organize and hold multi-level and multi-form sports events, and carry out more than 80 events every year; Make full use of the "eye protection bonus" brought by the implementation of the "double reduction" policy, vigorously promote the "double reduction" work, and strengthen the management of mobile phones, sleep, reading, homework and physique of primary and secondary school students.

  Strengthen monitoring intervention and market supervision to ensure that myopia prevention and control wins early. The key to prevent and control myopia lies in early detection and early disposal, and monitoring intervention and market supervision are indispensable. The autonomous region has formulated and promulgated the "Work Plan for Monitoring and Intervention of Common Diseases and Health Influencing Factors of Students in Guangxi" to comprehensively deploy and carry out vision monitoring and intervention; Vigorously promote the construction of monitoring points, and the number of myopia screening monitoring points in the whole region will be expanded from 29 in 2018 to 111 in 2021, achieving full coverage in 111 counties (cities, districts) in 14 districts and cities; Focus on the eye health of young children, find the problem of poor eyesight of children early and implement targeted intervention; Strengthen supervision over the quality, measurement, advertising, inspection and testing institutions of optometry products, and purify the market environment.

  Strengthen propaganda and guidance, joint prevention and control, and ensure that the prevention and control effect of myopia is "long". Coordinate internal publicity and external publicity, online and offline, traditional media and emerging media, make full use of platforms such as newspapers, Taiwan, Internet, terminals and micro-media, and strengthen the interpretation of myopia prevention and control policies, effectiveness publicity and experience promotion through news, communication, review, graphics and videos to maximize the power of consensus; Carry out the service action of "10,000 doctors enter the campus" and implement the "Enlightenment Action — — Eye health, starting with dolls "theme publicity free clinic series activities; Actively promote the cooperation between home and school, make full use of parents’ schools, parent-teacher conferences, home-school friendship, send a letter to parents, and hold hands with small hands to enhance the awareness of family myopia prevention and control; Guide and encourage parents to accompany their children out of the house, relax their eyes in nature and protect them better.

  Innovating the management mode of vision health by comprehensive policy

  Zhou Jing, Deputy Secretary of Education Working Committee of Hubei Provincial Committee of the Communist Party of China, Party Secretary and Director of Education Department.

  Hubei Province has made positive progress and achieved good results in the prevention and control of myopia among children and adolescents by taking the initiative, innovating mechanisms, taking multiple measures simultaneously and making precise policies. In 2021, the overall myopia rate of children and adolescents in Hubei Province decreased by 2.1% compared with 2020. Wuhan was rated as the national demonstration area of vision health management for young students.

  Strengthen the top-level design and comprehensively build a myopia prevention and control system. Set up a provincial leading group for comprehensive prevention and control of myopia among children and adolescents with the deputy governor in charge as the team leader. The Provincial Department of Education and other eight departments issued the Implementation Plan for Comprehensive Prevention and Control of Children’s Myopia in Hubei Province, which clarified the responsibilities and formed a working mechanism of "government-led, departmental linkage, school implementation, family participation and social mobilization". Formulate the "Evaluation Measures for Comprehensive Prevention and Control of Children and Adolescents’ Myopia in Hubei Province (Trial)", and interview the heads of municipal and state governments who have evaluated "C" for two consecutive years.

  Adhere to the strategic advancement and innovate the management mode of vision health. Construct a management model of students’ vision health, which aims at promoting students’ vision health, takes scientific research as the guide, takes schools as the platform, and integrates health education, monitoring and early warning, comprehensive intervention and dynamic management for primary and secondary school students. Carry out vision health monitoring for all primary and secondary school students twice a year, and improve students’ vision health files; Establish a daily, weekly, monthly and semester management system for key contents of myopia prevention and control for students: daily — — Correct reading and writing posture, long distance between classes, two exercises and sunshine exercise for 1 hour; Weekly — — Complete like eyes’s homework and evaluate eye habits; Monthly — — Class eye protection evaluation, like eyes experience exchange, like eyes story sharing; Every semester — — 2 times of vision monitoring, 1 time of like eyes eye protection special issue, and 1 time of myopia prevention and control evaluation meeting.

  Strengthen publicity and education, and create a good ecological environment with healthy eyesight. Issued the "Notice on Carrying out the Propaganda Work of Myopia Prevention and Control in Primary and Secondary Schools in the Province", set up a propaganda group of myopia prevention and control for primary and secondary school students in Hubei Province composed of multidisciplinary experts, administrators of education administrative departments and college students, and carried out full coverage propaganda and research in 17 cities and states in the province. In the first half of 2022, 32 lectures were given in 8 cities and states, with 1,299 participants offline and 169,900 online. Hold a training course for principals of vision health management for primary and secondary school students in the province to spread the concept of health.

  Strengthen comprehensive policies and do a good job of "addition and subtraction" in myopia prevention and control. Earnestly achieve "one increase, one decrease and one guarantee". Issued the "Notice on Further Reducing Students’ Homework Burden and Off-campus Training Burden in Compulsory Education Stage", and the reduction rate of compulsory education discipline institutions in the province reached 92.19%, achieving full coverage of 4,169 after-school service schools in the province; Formulate "five management" measures and organize more than 3,000 responsible inspectors in the province to supervise the implementation of the "double reduction" requirements; Issue "Several Measures on Comprehensively Strengthening and Improving School Physical Education in the New Era" and "Implementation Opinions on Deepening the Integration of Physical Education and Promoting the Healthy Development of Teenagers", start a good physical education class, establish and improve the sports homework system, and ensure that students have one hour of physical activity time in and out of school every day; Issued the "Implementation Plan for the Construction of Clinics in Primary and Secondary Schools in Hubei Province and the Equipment of School Doctors", and established a multi-channel working mechanism for the equipment of school doctors and medical and health services.

  Cultivate typical demonstrations and promote all-round development from point to area. We will continue to promote the construction of Wuhan National Youth Students’ Vision Health Management Demonstration Zone, Xianning and Yichang National Reform Experimental Zone, and Wuhan Jianghan District, Yichang Wujiagang District, Hanchuan City, Jianli City and other national pilot counties (cities, districts). Promote the "Wuhan experience" in the whole province, support Wuhan, Xianning, Hanchuan and other places to set up vision health management principal’s studios, students’ vision health management technical guidance workstations or service centers, and select 300 vision health management demonstration schools and 240 principal’s studios. The first batch of 25 demonstration counties (cities, districts) and 100 "bright schools" were selected.

  Do a good job in myopia prevention and control propaganda and optimize intervention and treatment measures

  Li Ming, Executive Deputy Secretary of Education Working Committee of Shandong Provincial Committee of the Communist Party of China, Party Secretary and Director of Education Department.

  Shandong Province has explored the establishment of a working mode of taking multiple measures simultaneously, combining prevention and treatment, and promoting the prevention and control of myopia among children and adolescents. For two consecutive years, it has achieved excellent results in the national comprehensive assessment of prevention and control of myopia among children and adolescents, and was recognized by the Ministry of Education as "a provincial-level reform demonstration zone for prevention and control of myopia among children and adolescents".

  Improve the political position and improve the working system and mechanism. In recent years, Shandong has promulgated and implemented the Regulations on Promoting Students’ Physical Fitness and Health in Shandong Province, the Promotion Plan for Comprehensive Prevention and Control of Myopia among Children and Adolescents in Shandong Province, and the Detailed Rules for Evaluation and Assessment of Comprehensive Prevention and Control of Myopia among Children and Adolescents in Shandong Province (for Trial Implementation), and established a comprehensive prevention and control policy and regulation system; The establishment of Shandong Province Youth Low Vision Prevention Center, to undertake the technical guidance of myopia screening, filing, early warning and prevention and control of children and adolescents in the province; Establish "Shandong School Health Care Training Base", focusing on myopia prevention and control, and implement the knowledge updating project of school health professionals in the whole province; The prevention and control of myopia among children and adolescents will be included in the accountability of education supervision, and the requirement that "cities and counties (cities, districts) with a rising myopia rate for two consecutive years will reduce the evaluation of local governments’ educational responsibilities by one grade" will be put forward, and the prevention and control work will be effectively promoted in various places.

  Innovate means and optimize intervention and treatment measures. Continue to carry out standardized myopia screening and establish a "three-level monitoring" system for children and adolescents’ eye health screening, diagnosis and visual function analysis; Promote the establishment of a big data platform for children and adolescents’ health and myopia prevention and control in Shandong Province, and use the Shandong Student Health Network to establish electronic health records including visual health status for children and adolescents in the province; Explore the establishment of key technologies and methods of myopia prevention and control in combination of traditional Chinese and western medicine, and build a scientific and effective system of "three-level network, three-level monitoring, three-level early warning and three-level prevention and control" for children and adolescents.

  Strengthen publicity and education and unite the joint efforts of prevention and control. Relying on Shandong Education TV Station, we made every effort to create a series of programs of "New Classroom Healthy Campus", and held the live broadcast of "International Forum on Ophthalmology Development and Myopia Prevention and Control" for three consecutive years. Satellite TV signals covered 34 countries and regions, and cable TV was connected to more than 20 provinces, covering 450 million people; Set up a provincial propaganda group composed of 29 experts, carry out more than 50 online popular science lectures, and hold "Bright Future — — Ten million students’ lecture hall on myopia prevention and control "Eye-Love Day", published and distributed 225,000 popular science books on myopia prevention and control, benefiting more than 48 million people; Through brand activities or platforms such as "parents’ big class", "parents face to face", "home-school cooperation network", "family education interview", "millions of parents go to campus" and "ten thousand teachers visit ten thousand families", we will vigorously publicize the harm of myopia.

  Deepen education reform and establish a long-term mechanism for prevention and control. Formulate and implement the work list of "Deepening the Overall Plan of Educational Evaluation Reform in the New Era", improve the system and mechanism of moral education, improve the evaluation method of students, guide parents to establish a scientific concept of educating people, and promote the all-round development of students; In the name of the general office of the provincial government, the key tasks and division plans for comprehensively strengthening and improving school physical education, aesthetic education and labor education in the new era are issued, and clear requirements are put forward for increasing physical education hours, strengthening physical exercise and strengthening aesthetic education and labor education; Establish a coordination mechanism for "double reduction" at the provincial, city and county levels, set up a specialized agency for off-campus education and training supervision, and issue "Article 15" of school-running norms. More than 30 implementation plans and supporting documents of the province’s "double reduction" have been formulated, a full-chain work system for school-running behavior supervision has been established, discipline training institutions in compulsory education have been reduced, and the burden of students’ homework and off-campus training has been comprehensively reduced, creating a good environmental atmosphere for the prevention and control of myopia among children and adolescents.

  Strengthen physical exercise and create a good environment

  Wang Ping, Deputy Secretary of the Party Committee of Shanghai Education and Health Work and Director of the Municipal Education Commission

  Shanghai regards strengthening the comprehensive prevention and control of myopia and reducing the rate of new myopia as the top priority to promote students’ "five educations" and all-round development, and has built a "government-led, city-oriented — Area — Community three-level eye disease prevention and control network organization, expert guidance, combination of medicine and education, integration of medicine and prevention, family concern and social participation, and actively explore the Shanghai model of myopia prevention and control for children and adolescents. In 2021, the overall myopia rate of children and adolescents in Shanghai was 60.9%, which was 0.9 percentage points lower than that in 2020, and the prevention and control of myopia achieved practical results.

  Defend the campus position of myopia prevention and control. Campus is an important position for children and adolescents to prevent and control myopia. Shanghai pays attention to implementing the concept of "health first" and guides students to develop behavioral habits conducive to visual health. The first is to ensure the class hours of physical activities in schools. Since 2012, Shanghai has started the school physical education curriculum reform of "interest in primary school physical education, diversification of junior high school physical education, specialization of senior high school physical education and individualization of college physical education". On the basis of implementing the weekly "three classes, two exercises and two activities", Shanghai has fully implemented the opening of a physical education class every day in primary school, promoted the gradual increase of physical education hours in junior high school and senior high school, and ensured students’ one-hour physical activity time in and out of school every day. The second is to reduce the burden of schoolwork on and off campus. Combined with the implementation of the "double reduction" policy, by improving the operation management mechanism, improving the quality of operation design and other measures, students’ short-distance eye use time is reduced, and physical education, aesthetic education and labor education are included in the after-school service system of students, so that students can have more time for outdoor activities during the day. Organize a national myopia prevention and control propaganda group in Shanghai to preach myopia prevention and control knowledge for students online and offline, guide parents to arrange their children to learn to read and use electronic products reasonably, and form a joint force of home and school prevention and control. The third is to enrich students’ extracurricular sports activities. Since 2019, outdoor sports venues in primary and secondary schools have been opened to all students free of charge after class, on weekends and in summer.Promote nearly 200 national and international sports events held in the city every year, and become the second classroom of school physical education, prompting more students to consciously go outdoors to carry out sports.

  Implement comprehensive prevention and control measures for myopia. Focusing on promoting the joint efforts of the government, schools, medical and health institutions, families and students to build a comprehensive prevention and control network for myopia, it mainly includes three measures: First, strengthening the collaboration between medical and education. Every semester, students’ vision monitoring is carried out twice, and the refractive development files of children and adolescents are established "one file for life", which realizes 100% filing and dynamic transfer with the student status files of children and adolescents. The second is to improve the visual environment. In 2020, the Shanghai local standard "Code for Design of Classroom Lighting in Primary and Secondary Schools and Kindergartens" was revised and promulgated. By the end of 2021, all relevant compulsory hygiene standards such as classroom lighting in schools in the city were up to 100%. The third is to strengthen team building. In the past four years, the city has recruited more than 600 new PE teachers every year, and the number of PE teachers in basic education has exceeded 10,000, accounting for nearly 9% of the total number of PE teachers. Establish a system of excellent retired athletes as school physical education teachers; Implement the plan of excellent coaches entering the campus; Relying on universities and professional institutions to establish a prevention and control base for students’ myopia, to provide support for timely and effective intervention.

  Strengthen the implementation of myopia prevention and control responsibility. First, strengthen the implementation of responsibilities: eight departments, including education, health and sports, jointly issued the Implementation Plan for Comprehensive Prevention and Control of Myopia among Children and Adolescents, relying on mechanisms such as the combination of medical education and physical education. Signed a "Responsibility Letter for Comprehensively Strengthening the Comprehensive Prevention and Control of Children and Adolescents’ Myopia" with all districts, and implemented a one-vote veto on the districts and schools where students’ new myopia rate increased and their physical health level declined. Second, strengthen the assessment: regard children’s and adolescents’ visual health as an important part of quality education, include physical and mental health and schoolwork burden in the monitoring and evaluation of compulsory education quality and the evaluation of school green indicators, and include children’s and adolescents’ myopia prevention and control work, overall myopia rate and physical health status in the annual performance appraisal of district governments, forming a reversal mechanism for districts and schools to implement myopia prevention and control responsibilities.

  Building an intelligent prevention and control platform, linking departments to form a joint force

  Executive Deputy Secretary of Education Working Committee of Xinjiang Uygur Autonomous Region Party Committee,

  Hu Yanzhen, Party Secretary and Deputy Director of Education Department

  Under the strong leadership of the Party Committee and the government of Xinjiang Uygur Autonomous Region, the education system of Xinjiang Uygur Autonomous Region has strengthened departmental linkage and taken various measures to promote schools and all sectors of society to jointly implement the bright action of prevention and control of myopia among children and adolescents, and achieved phased results.

  Strengthen leadership and promote the compaction of responsibilities of all parties. Establish a leading group for comprehensive prevention and control of myopia in children and adolescents in the autonomous region, sign a responsibility book for myopia prevention and control objectives, promote it in layers, and strengthen territorial responsibility. Implement "Bright Action" and issue "Implementation Plan of Bright Action for Prevention and Control of Myopia among Children and Adolescents in Autonomous Region (2021— 2025), focusing on the key areas, core elements and key links of myopia prevention and control, and carrying out eight special actions to guide students to consciously protect their eyes in like eyes, reduce their academic burden, and scientifically regulate the use of electronic products.

  Comprehensive measures to establish an effective prevention and control mechanism. Comprehensively reduce off-campus training institutions for homework and disciplines. Adhere to after-school services, compulsory education schools have basically achieved "5+2" full coverage, and all students in need have full coverage, with a student participation rate of 95.6%. The number of off-campus training institutions in disciplines was reduced by 1356, with a reduction rate of 96.66%. Deepen the integration of sports and education, issue relevant documents, and promote the creation of 237 kindergartens with football characteristics, 153 schools with campus football characteristics, 4 pilot counties (districts) with campus football, 3 "all over the sky" training camps, 93 schools with ice and snow characteristics, and 20 demonstration schools with ice and snow.

  Typical guide, explore effective experience mode. On the basis of the existing five national pilot counties (cities, districts) and reform pilot areas for prevention and control of myopia for children and adolescents, 10 pilot counties (cities) for prevention and control of myopia for children and adolescents in autonomous regions, 2 reform pilot areas and the first batch of demonstration schools for prevention and control of myopia for children and adolescents in 10 autonomous regions were selected, identified and announced, the work plan was formulated, and a regional promotion meeting was held to carry out typical experience exchange. Urumqi, the experimental area of reform in the autonomous region, has continuously explored the beneficial mode of prevention and control, and the urban myopia rate has dropped from 51.79% in 2020 to 49.33% in 2021.

  Information helps to build an intelligent prevention and control platform. Based on the existing platform of "Xinjiang Students’ Physical Health Network", an information system for prevention and control of myopia at the autonomous region level was established, and an electronic file of "one person, one file, files follow others" for children and adolescents was built, with a cumulative filing rate of 100%. Realize the fusion and sharing of vision-related data with the "Student Health Examination Information Management System", so as to achieve unified standards, unified entry, unified filing and unified reporting in Xinjiang.

  Professional support, providing technical support for talents. In conjunction with the health and health departments of the autonomous region, it is clear that three specialized institutions for prevention and control of myopia for children and adolescents at the autonomous region level will allocate 13 million-&mdash to 34 counties where students monitor common diseases every year; 14 million yuan of monitoring funds are used to purchase equipment and carry out monitoring. Strengthen the construction of school health department of CDC, set up school health office, and carry out monitoring and prevention and control research on risk factors of myopia for children and adolescents.

  Create an atmosphere and strengthen students’ health education. Set up an autonomous region children and adolescents myopia prevention and control propaganda group to carry out online and offline propaganda. Strengthen the construction of health education positions in schools and families, and give 722,000 books including myopia prevention and control to children of all ethnic groups in Xinjiang and their families; Will "prevention and control of myopia must read" into the annual "Dongfeng Project" project. Make use of opportunities such as National Eye-Love Day and platforms such as WeChat WeChat official account and parents’ groups to carry out publicity.

  Departments are linked to form a joint force of prevention and control of "home, school and society". Adhere to the outstanding problems in the prevention and control of myopia among children and adolescents as the guide, and improve the prevention and control mechanism of myopia with the cooperation of Qi Xin, the main body of family, school and society. A total of 6.88 million advertisements were published by 104 media including TV, radio and APP.

  Through comprehensive measures, the overall myopia rate of children and adolescents in the whole autonomous region in 2021 was 43.45%, which was 0.87 percentage points lower than that during the COVID-19 epidemic in 2020, and it was lower than that in 2018 and 2019.