中新网北京12月1日电(阚枫)今天是第25个世界艾滋病日，经过20多年的努力，中国防艾工作成效显著，艾滋病疫情上升势头已获得控制得到遏制。但是，近年来艾滋病感染者就业、就医歧视事件仍屡屡不绝，民间防艾组织发展瓶颈也日益凸显。在此背景下，如何改革机制、创新形式，保障艾滋病人和感染者的合法权益，探索动员草根力量参与防艾工作仍然是中国抗击艾滋病所面临的挑战。

Beijing Beijing, 01 dec(KanFeng)Today is a 25 world AIDS day,After 20 years of efforts,National defence in artemisia achievements in their work,AIDS epidemic rising momentum has gained control be contained.but,In recent years people infected with HIV employment/Doctor discrimination still events of repeatedly,Folk AIDS organization development bottleneck also increasingly prominent.In this context,How to reform mechanism/Innovation form,AIDS and safeguard the lawful rights and interests of the infections,Explore mobilize grassroots effort to participate in AIDS work is still China faces a challenge to fight AIDS.

医疗歧视再引关注：艾滋病患就医障碍待破解 Medical discrimination attention again:AIDS with medical disorder to crack

　　就在世界艾滋病日来临的前夕，一则携带艾滋病毒的肝癌患者求医遭拒，私改病历隐瞒病情接受手术的新闻报道，再次引起了全社会对“艾滋病就医歧视”问题的集中关注，并引起中央高层重视，中共中央政治局常委、国务院副总理李克强在看到报道后，立即要求卫生部门采取切实措施，保障艾滋病病人接受医疗救治的权利。卫生部也回应称，将落实首诊负责制，严禁推诿或者拒绝诊治。

On the eve of the world AIDS day coming,A living with HIV patients with hepatocellular carcinoma (HCC) healed rejected,SiGai medical records to hide the illness surgery news reports,From the whole society to again"AIDS discrimination go to a doctor"Focus on the problem,And cause a central high attention,The standing committee of CCCPC political bureau/Vice premier li keqiang after reports at the sight,Request immediate health departments to take effective measures,Security AIDS patient accept the right to medical treatment.The department of health has respond to say,Will implement the first diagnosis responsibility system,It is strictly prohibited to shuffle or refuse to make a diagnosis and give treatment.

　　在中国，艾滋病患的就医障碍并不是个例，去年5月，中国艾滋病病毒携带者联盟撰写的《关于解决我国艾滋病病毒感染者和艾滋病病人“手术难”问题建议》报告指出，“手术难”已成为艾滋病毒感染者医疗权益受侵的突出表现。然而，由于正常就医渠道不畅，艾滋病毒感染者只能靠隐瞒病情获得治疗，这无形中又给医生带来了潜在风险。

In China,AIDS had medical disorder is not case-by-case,Last may,China AIDS virus carriers alliance of writing[In our country on the solution of AIDS virus infection and AIDS patients"Surgery difficult"Problem Suggestions]The report says,"Surgery difficult"People with HIV/AIDS has become a medical rights and the outstanding performance of the invasion.however,Due to the normal medical channel,HIV infected people can only rely on hide condition get treatment,This virtually and gave the doctor bring the potential risk.

　　其实，在法规层面，中国政府2006年1月出台的《艾滋病防治条例》就明确规定，医疗机构不得因就诊患者是艾滋病病毒感染者或艾滋患者，推诿或拒绝对其其他疾病进行治疗。但是6年来，有关“艾滋病人就医遭拒”的新闻仍频见报端。

In fact,In the regulations level,The Chinese government issued in January 2006[Regulations on AIDS prevention and control]Is specified,Medical institutions must not for clinic patients infected with the virus that causes AIDS or HIV patients,Shuffle or reject the other disease treatment.But six years,relevant"AIDS people rejected by a doctor"News is still frequency see made public.

　　“目前问题的关键是‘有法不依’，法律管不了人心，就像士兵必须面对战争一样，医生必然面对疾病，这是医务人员的职责。” 清华大学人文与社会科学院社会学系教授，艾滋病政策研究中心主任景军表示，医疗歧视对于艾滋病人和感染者的伤害更大。

"At present the key to the problem is‘Practising lawlessness’,Legal tube not the heart,Like soldiers must face war,The doctor will face disease,This is the responsibilities of the medical staff." Tsinghua university humanities and social sciences professor department of society,AIDS policy research center director JingJun said,Medical discrimination to AIDS and infected hurt more.

　　面对艾滋病患，医生的顾虑自然是担心病毒感染，但是景军表示：“中国每年因给病人手术等医疗操作而导致艾滋病职业暴露事件有好几百起，但未发生一起由此导致的艾滋病感染病例，这说明职业暴露导致艾滋病感染的几率非常小。”

In the face of HIV/AIDS had,The doctor's concerns nature is worried about the virus infection,But JingJun said:"Every year because of China to the patient, such as surgery medical operation and cause HIV occupational exposure events have hundreds of up,But did not happen together which leads to AIDS infections,This shows that occupational exposure to HIV/AIDS the risk of infection is very small."

　　对于来自医院的艾滋歧视，有专家认为，卫生行政部门在对拒诊医院加大处罚力度的同时，还应提高医院接纳艾滋病患者就医的能力。要通过政策扶持，让定点医院具备全面的诊疗能力，接诊各类并发症患者。同时，鼓励综合医院的感染科开展艾滋病治疗，以满足艾滋病病人和感染者的医疗需求。

From the hospital for AIDS discrimination,Some experts think the,The public health administrative department in the rejected hospital increase punishment at the same time,Should also improve hospital accept AIDS patients go to a doctor ability.Through policy support,Let the fixed-point hospital have comprehensive diagnosis and treatment capacity,Accepts all kinds of patients with complications.At the same time,Encourage general hospital infection in department of HIV/AIDS therapies,In order to meet the AIDS patients and HIV needs of medical treatment.

　　在11月28日举行的艾滋病防治工作媒体通气会上，卫生部相关部门负责人也表示，为减轻医务人员后顾之忧，卫生部将协调相关部门建立对一线从事临床工作医务人员，尤其是手术器械操作人员的补偿机制，提高相应医务人员的风险暴露的待遇。

On nov. 28 HIV/AIDS prevention and control work held media ventilation meeting,The ministry of health related department person in charge also said,To reduce the medical staff trouble back at home,The health ministry will coordinate relevant departments to set up a line engaged in clinical work for medical staff,Especially surgical instruments operating personnel's compensation mechanism,Improve the corresponding medical personnel's risk exposure treatment.

　　“如果在医疗界都不能去除对艾滋病的歧视，如果掌握更多防护知识的医生都不能消除对艾滋病的歧视，很难再去期待全社会对艾滋病患者营造更宽容、更友爱的环境。”景军说。

"If supported in cannot remove AIDS discrimination,If master more protection knowledge doctor can eliminate the discrimination to AIDS,It is hard to expect the whole society of AIDS patients to build more tolerant/The more love environment."JingJun said.

　因为疾病被社会边缘：感染者就业遇制度尴尬 Because the disease is social edge:Infected people in employment system embarrassed

　　同样是在世界艾滋病日前夕，江西一名艾滋感染者因参加中小学教师招聘考试成就优异却遭拒，状告县教育局，这也是中国第四起艾滋就业歧视案。

In the same world AIDS day eve,Jiangxi a HIV infections in primary and secondary school teachers for recruitment exam achievement but excellent rejected,Sued county bureau of,This is China's first AIDS case four employment discrimination.

　　这四起案件惊人地相似，四位原告均在寻求教师职业的过程中，通过笔试和面试之后，因为体检HIV呈阳性而被当地相关政府部门拒绝录用。前三起案件已经败诉或不被法院受理，目前这第四起案件正在等待法官的立案答复。

This four strikingly similar cases,Four the plaintiff are looking for teacher professional process,Through the written examination and interview later,Because HIV positive and physical examination by the local relevant government department refused to hire.The first three cases have the losing or not accepted by the court,The first four cases are waiting for the judge's put on record reply.

　　对于艾滋病感染者的就业保障，2006年颁布的《艾滋病防治条例》明确规定：“艾滋病病毒感染者、艾滋病病人及其家属享有的婚姻、就业、就医、入学等合法权益受法律保护。”2007年出台的《就业促进法》也明确：“用人单位招用人员，不得以是传染病病原携带者为由拒绝录用。”

For people infected with HIV's employment security,Introduced in 2006[Regulations on AIDS prevention and control]Specific provision:"The AIDS virus infection/AIDS patients and their families enjoy marriage/employment/medical/Entrance and lawful rights and interests are protected by law."In 2007 on the introduction of the[Employment promotion law]Also clearly:"An employer hires personnel,May is infectious disease pathogen carriers refuse to hire."

　　然而，在现行的《公务员录用体检通用标准(试行)》中却有“淋病、梅毒、软下疳、性病性淋巴肉芽肿、尖锐湿疣、生殖器疱疹、艾滋病，不合格” 的规定。

however,In the current[Civil servants employed medical general standard(trial)]yet"gonorrhea/syphilis/Soft chancre/Venereal sex is lymphatic granulation is swollen/Condyloma acuminatum/Genital herpes/AIDS,The unqualified" regulations.

　　11月29日，6名代理艾滋就业歧视案的律师向国务院法制办寄送了一封建议信，要求审查《公务员录用体检通用标准(试行)》，删除其中的“艾滋病不合格条款”，保护艾滋病病毒感染者平等就业权。

Nov. 29,Six agent AIDS employment discrimination case lawyer affairs office of the state council to send a letter JianYiXin,Requirement review[Civil servants employed medical general standard(trial)],Delete one of the"AIDS is unqualified clause",Protection of AIDS virus infection equal right to employment.

　　有专家分析，中国对于政府部门和事业单位招录工作人员一直在努力破除歧视，2005年制定的公务员体检标准在乙肝和身高等问题上已消除歧视，如果公务员和事业单位的体检标准在艾滋病方面也能进一步完善起来，成为“就业模范”，势必将使政府消除艾滋就业歧视的努力大大地前进一步。

The expert analysis,China for government departments and institutions ZhaoLu staff has been trying to break discrimination,In 2005 the civil service examination formulated standards in hepatitis b and height etc have been eliminate discrimination,If civil servants and institutions of the medical standard on AIDS also can further improve up,become"Employment model",Certainly will will make the government eliminate AIDS employment discrimination efforts before further greatly.