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Recently, the National Health Commission has issued the "Specifications for Eye Care and Vision Checkup Services for Children 0-6 Years Old (Trial)", which clearly provides 13 eye care and vision check services for children between 0 and 6 years old.
As for the children of migrant workers, due to the increase in learning tasks, the popularization of electronic equipment, the lack of supervision and the lack of medical conditions when their parents are not around, eye health issues require urgent attention.
Experts reminded that it is unrealistic to keep children away from electronic devices, but it can be intervened in advance to prevent vision problems.
"In the past, we thought that children before the age of 6 had nothing to do with myopia, but now we have clinically found that the age of onset of myopia is significantly earlier, and many children start myopia between 4 and 6 years old." Hu Min, director of the Children's Ophthalmology Department of Yunnan University Affiliated Hospital, recently accepted "Workers Daily" reporter said in an interview.
On July 13, the National Health Commission introduced at a press conference that in 2020, the overall myopia rate of children and adolescents in my country is 52.7%; the problem of myopia is still prominent in the younger age, from the first grade to the sixth grade, the average increase In one grade, the myopia rate increased by 9.3 percentage points.
Recently, the National Health Commission has issued the "Specifications for Eye Care and Vision Inspection Services for Children from 0 to 6 Years Old (Trial)" (hereinafter referred to as the "Specifications"), which clearly provides 13 eye care and vision inspection services for children between 0 and 6 years of age.
As for the children of migrant workers, due to the increase in learning tasks, the popularization of electronic equipment, and the lack of supervision by their parents, they may face a more severe situation.
So, how should the eye health of the children of migrant workers be protected?
"I'm used to my eyes and can't see clearly"
In Yingpan Town, Lanping County, Nujiang Prefecture, Yunnan Province, 13-year-old Xiao Chu often falls while walking. Compared with children of the same age, he walks very slowly.
With the help of the adolescent eye disease public welfare assistance project, after a professional examination, Xiao Chu was diagnosed with common esotropia, binocular refractive error, and left-eye strabismus amblyopia.
"Unexpectedly, the root cause of children's frequent falls was actually squint." Xiao Chu's father, Chu Yincai, recalled that Xiao Chu had twitches twice due to high fever when he was 2 years old. Later, he developed symptoms of squint in both eyes. Children like to tilt their heads when watching TV. Reading and writing often lie on the table.
Due to poor eye health awareness and long-term work outside, Chu Yincai has never taken his child to a regular hospital for related eye health examinations.
Fortunately, after surgery, Xiao Chu's esotropia was corrected.
Xu Jiangtao, deputy chairman of the Strabismus and Pediatric Ophthalmology Committee of the Chinese Medical Doctor Association Ophthalmologists Association, and the director of Kunming Aier Eye Hospital, introduced that strabismus not only affects the appearance of children, but also causes amblyopia, resulting in low vision, and even three-dimensional Vision loss.
"From the situation of the children of migrant workers who have been treated in the past, many patients have reached moderate myopia but never wear glasses, and they are used to seeing their eyes unclear." Xu Jiangtao said, on the one hand, because their parents are working outside, their children stay at home. Without the attention of parents, there is a lack of eye health and eye health knowledge when living in school. On the other hand, medical conditions in rural areas are lacking, vision and eye disease screening cannot keep up, and glasses are not even equipped in rural areas.
Eye health is increasingly valued
With the popularization of smart electronic devices, more and more children of migrant workers are beginning to come into contact with electronic products. In addition to the heavy learning tasks, the burden on children's eyes is getting heavier and heavier.
Chen Yankun and his wife, who work in the Anning Wanda Plaza project of the Southern Company of China Construction Eighth Engineering Co., Ltd., have two children. The eldest daughter is 8 years old and the younger son is 4 years old. They are taken care of by the elderly in their hometown of Luliang County, Qujing.
The husband and wife return home only once a month, and they rarely accompany their children.
"One time when I came home, I found my eldest daughter squinted watching TV and noticed that the child was a little short-sighted." Chen Yankun said, watching TV and playing with mobile phones for a long time is the main reason for the child's short-sightedness.
In addition, the children are under great academic pressure. After school is over at 5 pm, they have to go to the auxiliary classes in the village to study until 8 pm, which requires a lot of attention.
Chen Yankun is very worried that her eldest daughter's myopia will deepen, and she often tells her elder daughter to protect her eyes and not to use mobile phones, so that the elderly can control the children's TV time.
Chen Yankun would take the child to check his eyes every time he went home.
"I used to seldom see glasses wearing glasses when I was seven or eight years old, but now there are more and more children wearing glasses."
Not only is Chen Yankun paying more and more attention to the child's eye health, but every time Meituan takeaway Wang Wanxing takes his child for a physical examination, the doctor will explain some things to pay attention to about the child's vision protection, which also makes him pay special attention to the child's eye health.
He told reporters that children are usually only allowed to watch TV for half an hour, and they are often asked to watch colorful blocks at different distances to test the recognition of their eyes.
So far, Wang Wanxing has taken his children for more than 10 eye examinations.
The Bohua School, located in the urban-rural junction of Wuhua District, Kunming City, Yunnan Province, has a total of 515 students, 98% of which are children of migrant workers, and 16 students who wear glasses or have vision problems.
The reporter saw in the school that as soon as the bell rang after class, the teacher would take the students to the playground to participate in outdoor exercise activities to reduce eye fatigue.
Li Hongjie, the principal of Bohua School, told reporters that in order to prevent students from myopia, the school does not assign written homework for the first and second grades, and the homework for the third to sixth grades does not exceed 60 minutes. At the same time, students are guaranteed one hour of nap every day.
Preventing vision problems requires medical intervention
The "Specifications" require that eye care and vision examination services for children aged 0-6 are mainly provided by grass-roots medical and health institutions such as township health centers and community health service centers with corresponding service capabilities, or county-level maternal and child health care institutions and other county-level medical institutions that meet the conditions. Provided by institutions, including health education, eye disease screening and vision assessment, health guidance, referral services and registration of children’s eye health file information, etc.
At 9 o'clock in the morning on July 12, the entrance to the eye examination room of the Wuhua District Maternal and Child Health Service Center (hereinafter referred to as the center), Kunming City, Yunnan Province, was full of parents and children waiting for the examination.
Yang Zhen, director of the Children’s Health Department of the Center, said, “As long as the children aged 0 to 6 who live in the jurisdiction are the objects of our services, migrant workers living in the jurisdiction can take their children to relevant medical institutions for examination by issuing a residence certificate in the community. "Yang Zhen said that after each examination, parents will be reminded of the next follow-up time. If an abnormality is found during the examination, the first follow-up visit will be carried out. Patients who cannot be corrected will be referred to the corresponding eye specialist clinic.
Wu Yang, a staff member of the Children’s Health Department of the Center, told reporters that abnormal vision and refractive abnormalities account for more than 50% of children’s eye diseases. Excessive use of eyes at close range and less outdoor exercise will lead to insufficient hyperopia reserves and premature occurrence of myopia. The probability will increase accordingly.
"Parents are myopia, one of them is highly myopia, and the mother's childbirth age is later than 30 years old will affect the child's vision. Children should have regular eye examinations to find out as soon as possible." Hu Min said that the child should be before myopia. Seek a doctor for evaluation. The doctor can predict the time period for myopia based on the parameters of the examination and intervene in time.
Hu Min believes that the current electronic products are a channel to acquire knowledge, and it is unrealistic to prevent children from contacting electronic devices to prevent myopia.
However, there are many interventions that can prevent vision problems in advance, including behavioral interventions, drug assistance, lenses to prevent myopia, and some optical lighting stimulations.
"If we can intervene early, we are confident that the child will not be nearsighted. For children who are already nearsighted, we try not to let him become highly myopic, and we try to keep his myopia degree unchanged." Hu Min Say.