Within the framework of a Health Programme financed through the German Development Bank (KfW), the People’s Republic of China (P.R. China) aimed to improve medical care for their population inter alia through the procurement of equipment for laboratories of 109 Centres for Disease Control (CDC) in six provinces and two autonomous regions (Gansu, Guizhou, Qinghai, Shaanxi, Sichuan, Yunnan, Inner Mongolia, Xinjiang AR and China Xinjiang Group). The provision of essential equipment for testing, diagnostic and surveillance to these CDCs at provincial and prefecture level should strengthen the national programme of disease prevention. Up to Euro 60 million were being made available through the Sino-German cooperation programme channelled through KfW, with which the laboratory equipment was procured.
Prior to the arrival of the laboratory equipment, major redesign works to prepare the CDCs for correct installation and functioning of new, sophisticated equipment had to be done. These measures consisted of the installation of basic infrastructure enabling the equipment to work properly (electricity, installation, water, gas) and the set-up of safety standards for BSL-2 and lower labs. Laboratories in the CDCs of the eight provinces of Yunnan, Gansu, Sichuan, Shaanxi, Qinghai, Inner Mongolia, Guizhou and Xinjiang AR were evaluated in June-November 2006 by five expert teams, including: suggestions on how to upgrade;
- water supply and energy condition of the building;
- waste treatment;
- wires for networks and electricity, air-conditioning, heating (HVAC);
- piping for gases (e.g. hydrogen, acetylene, helium, oxygen for gas-chromatography, mass spectrometry, atomic absorption spectrometry);
- requirements for bio-safety of the laboratories;
- workplace safety (infectious materials, harmful micro-organisms and explosive chemicals);
- procedures for e.g. ventilation, accessibility, escape ways, fire protection. Chinese regulations and legal requirements were the basis for the re-design and integrated into the final drawings for the re-design of the laboratories. A total of 106 CDCs were assessed and the results for each CDC reported to the Provinces on site.
After adjustment of technical installations, introduction of appropriate measures for bio-safety at BSL-2 laboratories and lower levels, monitoring and final acceptance carried out by the Consultant, the CDCs will be prepared for the installation of the new laboratory equipment.