ISSN-24092630 2016 Taiwan Health and Welfare Report Taiwan Health and 2016 Welfare Report Promote the health and well-being of all citizens Being the most trustworthy government agency Health Happiness Fairness Sustainability Ministry of Health and Welfare, R.O.C.(Taiwan) Ministry of Health and Welfare, ISSN 2409-2630 0 0 3 0 0 9 772409 263003 GPN : 2010302163 Price：NT$300 Advertisement Ministry of Health and Welfare, R.O.C. (Taiwan) Taiwan Health and Welfare Report 2016 Adhering to the Whole-Person Care Value, Achieving Holistic Health and Social Welfare Policies. Ministry of Health and Welfare, R.O.C.(Taiwan) Foreword The Ministry of Health and Welfare's responsibilities include health planning and promotion, prevention and control of disease, food safety, drug management, social insurance, and welfare, relief and protective services. Our mandate also includes biotechnology R&D, international health cooperation, and diverse other areas affecting public health and well-being far beyond Taiwan. To explain our agency's health and social administration initiatives, we publish this annual report outlining our major policies and their concrete results. Some important trends continue to develop. Taiwan has officially been an "aging society" since 1993, and the government has been building better living environments and a long-term care system for senior citizens. This system focuses on economic security, health care and maintenance, and living care. June 2015 saw the enactment of the Long-term Care Services Act, which will be implemented beginning in 2017. Our agency continues to formulate the Act's sub-statutes and ancillary measures, and to implement the plan's second phase. This will coordinate provision of LTC resources, strengthen worker training, and make LTC more widely available and more closely integrated with communities. We established an LTC Development Fund to foster community- based care models that can optimally serve Taiwan's aging society. We are expanding our efforts to address violence by providing various protective services. The Legislative Yuan approved Sexual Assault Prevention Law revisions that require an expert in a relevant field to be present when children and mentally handicapped persons are interviewed by police or judicial authorities. The Domestic Violence Prevention Act has also been revised so children who witness incidents of domestic violence can be included in protection orders. The duration of regular protection orders has been extended, and threatening behavior by non-household members is now covered by the Act. We are promoting a revised Child and Youth Sexual Transaction Prevention Act, including renaming this as the Statute to Prevent Childhood Sexual Exploitation. This reflects the revision's wider scope, as it expands prohibitions against using children in sexual performances, making children accompany bar patrons, and involving children in sexual escort services. Regulatory authorities are encouraged to work with parents and children, and penalties have been added and made more severe. The Formosa Fun Coast explosion occurred on June 27, 2015, when flammable starch-based color powder exploded and burned 499 people in an open-air "color party." On average, these patients had burns over 41% of their skin; 41 had burns over 80% or more of their skin. Our Ministry quickly mobilized hospitals in the Taipei, Taoyuan and Keelung areas to provide first-line emergency services; 53 more hospitals in 12 counties and cities provided follow-up treatment for this unprecedented number of burn patients. Committed to supporting these explosion victims regardless of cost, the Ministry's dedicated project team scrambled to arrange funding for their care. Daily meetings were held about allocation of medical resources, supplies and equipment, and about funding medical expenses and providing psychological support services. Central and local government health and welfare agencies worked together with care providers, and the overall high standard of medical care saved many young lives. Taiwan's smooth handling of this disaster won widespread praise from the international community with regard to coordinated disaster response by medical and social welfare service providers. In the area of contagious disease prevention, we continue to promote epidemic monitoring and surveys, disease prevention efforts and research, and preventive inoculation programs. The Communicable Disease Control Act was amended to expand infection control work in services for older adults, nursing homes, long-term care institutions, residential child care facilities, correctional facilities, etc. To expand infant immunization and care, in 2015 Pneumococcal Conjugate Vaccine was added to the list of required vaccinations. To promote food safety, our Ministry is implementing stronger restaurant sanitation standards, including food products vendor registration. We require the food industry to implement compulsory testing, and we have promoted food product traceability systems. We work closely with local public health bureaus on food product testing, monitoring and auditing. The year 2015 also saw the launch of the #1919 National Food Safety Hotline, through which businesses and citizens can submit petitions or complaints, report questionable behavior, and request advice promptly. Also in 2015, the Pharmaceutical Affairs Act was revised to establish a traceability mechanism and a notification mechanism for supply shortages. Other changes include assistive measures to make pharmaceuticals-related data easier to read, and a case-by-case approval mechanism for emergency pharmaceutical needs. Pharmaceuticals registration criteria now address sourcing to strengthen quality management. Looking back over 2015, our Ministry faced many challenges. We continue to pursue the goals of effective teamwork and coordinated planning for health and welfare services that meet citizens' changing needs. I hope this report helps citizens understand the past year's issues and gains -- and earnestly hope readers will forward comments and criticism that can help us better meet Taiwan's wellness needs. Minister of Health and Welfare CONTENTS Foreword 02 Health and Welfare Policies 07 01 06 Chapter 1 Administrative Goals 08 Chapter 2 Health and Welfare Organization 10 Chapter 3 Health and Welfare Budget 10 02 Health and Welfare Indicators 13 07 Chapter 1 Population Indicators 14 Chapter 2 Vital Indicators 16 Chapter 3 National Health Expenditure 20 03 Chapter 4 Social Welfare Indicators 20 08 03 Chapter 5 International Comparisons 23 08 04 09 05 10 11 01 06 0201 0706 Friendly Environments Supportive 27 03 to Health Chapter 1 Healthy Childbirth and Growth 28 0302 Chapter 2 Healthy Living 31 0807 03 Chapter 3 Healthy Environments 35 08 Chapter 4 Healthy Aging 37 01 Chapter 5 Health Communication, 41 06 Management of Food and Drugs 87 Information, and Surveillance Chapter 1 Management of Food 88 0403 Health Care 43 Chapter 2 Management0908 of Drugs 90 Chapter 3 Management of Medical 94 01 Chapter 1 Health Care Systems 44 06 Devices and Cosmetics 0201 Chapter 2 Mental Health and Psychiatric Care 49 0706 Chapter 4 Management of National 97 Laboratories and Risk Chapter 3 Long-Term Care Service Systems 54 Chapter 5 Consumer Protection and 100 Chapter 4 Medical Manpower 57 0504 Communication1009 Chapter 5 Health Care Quality 61 02 Chapter 6 Health Care in Remote Regions 65 07 Social Insurance 101 0302 Chapter 7 Health Care Provision for 68 0807 Specially Targeted Groups Chapter 1 National Health Insurance 102 Chapter 2 National Pension (NP) 107 Communicable Disease Control 71 05 Chapter 3 Planning1110 Long-Term Care Insurance 109 03 Chapter 1 Overview of the Communicable 72 08 0403 Disease Control System 0908 Social Welfare Services 113 Chapter 2 Control of Major/Emerging 74 Communicable Diseases Chapter 1 Children and Youth Welfare 114 Chapter 3 Communicable Disease 81 Chapter 2 Welfare11 for Women and Family 117 Preparedness and Response, Support and Infection Control Chapter 3 Welfare for the Elderly 121 04 Chapter 4 Immunization 85 09 0504 1009 Chapter 4 Welfare for the Disabled 123 05 10 05 1110 1111 01 06 02 07 03 08 CONTENTS 04 09 Social Assistance and Social Work 127 Chapter 1 Emergency Assistance for Low-Income 128 (Middle-to-Low-Income) Households Chapter 2 Assistance for the Homeless 132 Chapter 3 Disaster Relief 133 05 10 Chapter 4 Social Work 134 Chapter 5 Welfare Resources Network 136 Protective Services and Prevention of 10 Gender Violence 139 11 Chapter 1 Prevention of Sexual Harassment 140 and Gender Violence Chapter 2 Prevention of Domestic Violence 141 Chapter 3 Prevention of Sexual Assault 144 Chapter 4 Children and Youth Protection 146 and Sexual Exploitation Prevention Research, Development, and 11 International Cooperation 149 Chapter 1 Science and Technology Research 150 in Health and Welfare Chapter 2 International Cooperation 157 Appendices 165 Appendix 1 Health and Welfare Indicators 166 Appendix 2 Notifiable Disease Statistics 181 Health and Welfare Policies 08︱Chapter 1 Administrative Goals 10︱Chapter 2 Health and Welfare Organization 10︱Chapter 3 Health and Welfare Budget In order to safeguard the health and well-being government agency. The MOHW aspires to shape of all citizens, the Ministry of Health and Welfare a happier and healthier nation. (MOHW) integrates social welfare and healthcare resources with globalized, localized, and innovative thinking. Our ministry has also diligently planned Chapter 1 Administrative Goals and laid out the