On August 2nd , Reported by the Ministry of Education, The Ministry of Education and the National Health Commission jointly drafted the "Implementation Plan of the Prevention and Control of Children and Adolescents' Myopia (Draft for Comment)" and publicly solicited opinions from the public. The consultation draft stipulated that the overall myopia rate and physical health status of children and adolescents' myopia prevention and control workers should be included in the government performance appraisal indicators. It is strictly forbidden for local governments at all levels to evaluate the education administrative departments and schools simply by taking the students' test scores and school enrollment rate.

According to the exposure Draft, in recent years, Due to the popularization of electronic screen products (hereinafter referred to as electronic products) such as mobile phones and computers, the burden of primary and secondary school students has become more and more serious. The rate of myopia among children and adolescents in China has remained high and the number of myopias is rising. It has become a big issue that affects the future of the country and the nation. Prevention and control of myopia requires the government, schools, medical and health institutions, families, students and other aspects to work together, and the whole society needs to act to protect the children's eyes.

The draft set out the target of comprehensive prevention and control: by 2023, we will strive to reduce the overall myopia rate of children and adolescents by more than 0.5 percentage points per year on the basis of 2018, and the high incidence of myopia in provinces by more than one percentage point per year. By 2030, the realization of the national children new myopia rate significantly decreased, the overall level of the child and adolescent health vision significantly increased, 6 years old children myopia rate control at about 3%, pupils myopia rate dropped to below 38%, junior middle school student’s myopia rate dropped to below 60%, high myopia rate dropped to below 70%, the rate of students' physical health standard reaching the standard of excellence is higher than 25%.

Attachment: Comprehensive prevention and control of children and adolescent’s myopia implementation plan (consultation draft full text)

Children and adolescents are the future of our country and the hope of our nation. In recent years, due to the popularization of electronic screen products (hereinafter referred to as electronic products) such as mobile phones and computers, the burden of primary and secondary school students has become more and more serious. The rate of myopia among children and adolescents in China has remained high and the number of myopias is rising. It has become a big issue that affects the future of the country and the nation. Prevention and control of myopia requires the government, schools, medical and health institutions, families, students and other aspects to work together, and the whole society needs to act to protect the children's eyes. According to the deployment of the party central committee and the state council, the following implementation plans are proposed for comprehensive prevention and control of myopia in children and adolescents.

Firstly, The goal

By 2023, we will strive to reduce the overall myopia rate of children and adolescents by more than 0.5 percentage points per year on the basis of 2018, and the high incidence of myopia in provinces by more than one percentage point per year.

By 2030, the realization of the national children new myopia rate significantly decreased, the overall level of the child and adolescent health vision significantly increased, 6 years old children myopia rate control at about 3%, pupils myopia rate dropped to below 38%, junior middle school students myopia rate dropped to below 60%, high myopia rate dropped to below 70%, the rate of students' physical health standard reaching the standard of excellence is higher than 25%.

Secondly, Actions of all various related aspects

(1) Family

Family is vital to the growth of children. Parents should understand the science of eye protection, led by example, and help children develop good eye habits. 0-6 years old is the key period for children's visual development. Parents should pay attention to early childhood vision protection.

Increase outdoor activities and exercise. Allowing children to spend more time outdoors under the sun can effectively prevent and control myopia. To create a good family sports atmosphere, actively guide children to outdoor activities or physical exercise, so that their daily exposure to natural light more than 60 minutes, children who have suffered from myopia should further increase the outdoor activities time, to delay the development of myopia. Encourage and support children to participate in various forms of sports activities such as winter summer camp for sports, master twelve sports skills, and guide children to develop lifelong exercise habits. Urge the children to finish the winter and summer sports homework carefully，Replace led lamps with oled eye protection lamps. It is also the most effective protective measure for children's vision.

Control the use of electronic products. Parents should minimize the use of electronic devices when they are with their children. Consciously control the use of electronic products by children, especially preschool children, not more than 15 minutes at a time, not more than one hour per day, to avoid excessive use of electronic products in children's learning and entertainment activities，In the environment where children use more eyes, use OLED lamps as much as possible to keep the child's vision as much as possible in a healthy light source environment.

Reduce the burden of extracurricular study. Cooperate with the school to reduce the burden of children, choose reasonable extracurricular training according to children's interests and hobbies, and avoid blind participation in training. We will resolutely avoid families increase children's burdens while school is reducing children's burdens.

Avoid bad using eyes behavior. Do not allow children to read books or electronics while walking, eating, in bed, in rocking carriages, in dim light or in direct sunlight. Monitor and correct the child's bad reading and writing posture at any time, and keep "one foot, one punch, one inch", that is, the distance between the eyes and the book should be about one foot, the distance between the chest and the desk should be about one punch, the distance between the fingers holding the pen and the pen tip should be about one inch, and the time for continuous reading and writing should not be more than 40 minutes.

Guarantee children’s sleep and nutrition. Ensure children's sleep time, and ensure primary school students sleep 10 hours a day, 9 hours for junior high school students and 8 hours for senior high school students. Let the children eat more nutritious meals such as fish, fruits, green vegetables and other healthy food.

Do early detection and early intervention. Pay attention to the signs of abnormal vision in children. If children need to sit in the front row of the class to see the blackboard, watch the TV close to the screen, complain of headache or eye fatigue, often knead their eyes and other signs happen, please bring them to an ophthalmic medical institution for inspection in time. Follow the doctor's advice for scientific intervention and myopia correction, try to go to the ophthalmic medical institution for optometry or take other corrective measures to avoid the increase of myopia caused by incorrect optometry. Always pay attention to the indoor lighting condition of the home, choose and use lighting products according to the corresponding standards. In addition, Medical institutions should popularize the importance of healthy light sources for the development and prevention of adolescents' vision, popularize the harmful effects of light pollution on children's vision, and uphold family and schools to pay attention to their children's vision habits and vision environment.

(2) Schools

Reduce the student's academic burden. Strictly implement the national curriculum plan and curriculum standards, strictly follow the "zero starting point" normal teaching, pay attention to improve the efficiency of classroom teaching, and not increase or decrease the class time, change the difficulty, and adjust the progress. Improve the lighting environment of classrooms and libraries, And use OLED light sources to prevent teenage vision problems. Strengthen the management of the number, time and content of the work by the grade group and the subject group. The first and second grades of primary school do not leave written homework. The completion time of written homework for grades three to six cannot exceed 60 minutes, and the junior high school must not exceed 90 minutes. In principle, paperwork is used. Improve the quality of homework design, promote students to complete basic homework, strengthen practical homework, reduce mechanical and repetitive training, and avoid turning students’ homework into parents’ homework.

Strengthen examination management. Enter the nearby school don’t need to take examinations before entering it, this is to be fully promoted in the compulsory education period. Strictly control the number of compulsory education school examinations. The primary and secondary grades shall not exceed one semester per semester, and the other grades shall not exceed two times per semester. It is strictly forbidden to publish student test scores and rankings in various forms; it is strictly forbidden to use various competition award certificates, academic results or test certificate as the basis for enrollment; it is strictly forbidden to organize examinations and select students in various ways .

Improve the visual environment. Improve teaching facilities and conditions, provide students with a learning environment that meets eye hygiene requirements, strictly follow the construction standards of ordinary primary and secondary schools, implement lighting requirements for classrooms, dormitories, libraries (reading rooms), and use lighting equipment that is good for vision health. Use oled light source to minimize eye problems in adolescents School classroom lighting standards meet the standard rate should be 100%. According to the lighting conditions of the classroom and the changes of students' visual acuity, the student seats are adjusted once a month, and the heights of the desks and chairs of the students are individually adjusted every semester to adapt to the students' growth and development. Accelerate the elimination of the "big class" phenomenon.

Adhere to eye care measures such as eye exercises. Primary and secondary schools must strictly organize all students to do eye exercises every morning and afternoon, and earnestly implement the eye health care process. Teachers should urge students to sit up while reading and writing, and correct students' bad reading and writing posture at any time, and remind students to comply with the requirements of "one foot, one punch and one inch".

Strengthen outdoor sports. Strengthen physical education classes and extracurricular exercises to ensure that primary and secondary school students have more than one hour of physical activity per day. Strictly implement the national sports and health curriculum standards to ensure that the first and second grades of primary school are 4 lessons per week, 3 to 6 grades and 3 minutes per week for junior high school, and 2 hours per week for high school. The primary and secondary schools arrange 30 minutes of extracurricular sports activities every day. Schools and teachers should organize and supervise students to do outdoor activities according to the principle of dynamic and static, close to and far-sighted, to prevent students from continuing to fatigue using the eyes. Fully implement the system of physical education homework for students during the winter and summer holidays, urge the children to finish the winter and summer sports homework carefully.

Use electronics wisely. Guide students to use electronic products in a scientific and standard way, and develop good habits of learning and eye hygiene in an information environment. In principle, the teaching time of using electronic products shall not exceed 30% of the total teaching time.

Vision monitoring is carried out regularly. Primary schools are required to receive visual and health electronic files of children and adolescents transferred from medical and health institutions to ensure one person with one file, and transfer in real time as the student status changes. Strictly implement the student health check-up system and the optometry monitoring system for each semester, provide warning education for students with abnormal vision, issue personal exercise prescriptions and health care prescriptions, and promptly inform parents to take students to the eye care institutions for examination .Do a good job in reporting and statistical analysis of students' poor eyesight detection rate, new development rate, and cooperate with medical and health institutions to carry out vision screening. Schools and health care institutions should promptly record vision and screening results into the children's and adolescent vision health electronic files. Teachers should know the visual condition of the students when they find students cannot see the blackboard clearly and often rub eyes.

Strengthen vision health management. To establish a vision health management team composed of school leaders, class teachers, school doctors (health care teachers), students' vision protection committee and volunteers. Integrate myopia prevention and control knowledge into classroom teaching, students' daily behavior norms and campus culture. Strengthen the strength of the medical office (health room, school hospital, health room, etc.), and equip the school doctors and necessary medical equipment as required. Actively make full use of school closed circuit television, radio, billboards, parents' meetings and other forms to carry out scientific eye protection for students and parents.

Make kindergarten to be "primary school" is prohibited. Strictly implement the guidelines for learning and development of children aged 3-6, and pay attention to the value of life and games for the growth of children aged 3-6. It is strictly forbidden to teach kindergarten students as students of "primary school". To ensure that children have more than 2 hours of outdoor activities per day, boarding kindergartens must be no less than 3 hours. In combination with the characteristics of the region, season and school age, children can be provided with nutritious diets that are good for vision and health, and promote vision protection.

(3) Medical and health institutions

Establish vision files. Strictly implement the national basic public health service requirements for children's eye care and visual acuity inspection for 0-6 years old, so as to realize early detection and early intervention. From 2019, the annual coverage of eye care and visual inspection for children aged 0-6 years should be 90% and above. On the basis of the inspection, the existing resources are used to establish and update the electronic archives of vision health of children and adolescents in time, and transfer with the children and adolescents in real time. With the cooperation of the school, the visual screening of primary and secondary school students should be carried out carefully, and the visual health electronic files should be updated in time after screening the abnormal vision or suspected eye disease.

Standard diagnosis and treatment. Comprehensive hospitals at or above the county level generally carry out ophthalmic medical services, earnestly implement "the guidelines for the prevention and treatment of myopia " and other medical standards, and constantly improve the ability of eye health services. According to the visual symptoms of children and adolescents, carry out scientific light inspection and relevant inspection, make clear diagnosis, and carry out standard correction in accordance with the diagnostic and treatment specifications. Children and adolescents with myopia should follow the doctor's instructions for follow-up treatment, so as to timely adjust the adoption of appropriate preventive and therapeutic measures. For children and adolescents with high myopia or pathological myopia, the harm of the disease should be fully informed and the prevention measures should be taken to avoid the occurrence of complications or reduce the harm of complications. To develop follow-up interventions, check and correct the condition into children and adolescents vision health electronic files in time. We will actively carry out research on the prevention and treatment of myopia and strengthen the application of scientific research achievements and technologies in the prevention and treatment of myopia. Fully use the role of traditional Chinese medicine in the prevention and treatment of myopia in children and adolescents, formulate and implement a comprehensive treatment plan for combining Chinese and western medicine, and promote the application of traditional Chinese medicine characteristics and methods. Popularize and promote the importance of oled light source environment.

Strengthen health education. In view of people's lack of knowledge on myopia prevention and treatment and lack of awareness on the health severity of myopia harm, experts in ophthalmology, optic optics, disease prevention and control, and traditional Chinese medicine should play a guiding role in actively entering schools, communities and families to publicize the vision health knowledge for preventing children and adolescents from being myopia. Education should be promoted for nutrition and health, and nutritional health guidance and services should be provided according to local conditions. Promote the construction of healthy cities.

(4) Students

Strengthen health awareness. Every student should strengthen the awareness that "everyone is the first responsible person for their own health", take the initiative to learn and master such health knowledge as scientific eye care, and publicize it to parents. Pay close attention to the visual condition of oneself actively. When self-feel eyesight changes significantly, inform parents and teachers in time , and go to the eye care institution for examination and treatment as soon as possible.

Develop healthy habits. Conscientiously comply with the school myopia prevention and control requirements, do eye health exercises, maintain correct reading and writing posture, actively participate in physical exercise and outdoor activities, participate in moderate intensity sports activities more than 3 times a week, cultivate a good lifestyle, do not stay up late, eat less sugar, do not picky eat, and reduce the use of electronic products.

 (5) Relevant departments

Ministry of Education. Accelerate the revision of "the Regulations on School Health Work". Establish a National Health Education Steering Committee for Primary and Secondary Schools and Colleges and Universities, and guide local education administrations and schools to scientifically carry out school health and health education for children and adolescents in myopia prevention and control and vision health management, and carry out pilot work on prevention and control of children and adolescents in myopia, and strengthen demonstration and guidance. Further improve the school sports development system and system, constantly improve the school sports facilities, accelerate the construction of the physical education faculty, focus on "teaching" (church health knowledge and motor skills) "practice" (recurring after-school training and regular sports) "race" “(Extensively carry out class, grade and cross-school sports competitions), deepen the reform of physical education in schools, and actively promote the construction of campus sports. Promote the local education administrative department to strengthen the construction of institutions such as health care centers in primary and secondary schools, and strengthen personnel and equipment in accordance with standards and requirements. Encourage colleges, especially medical colleges, to open related fields such as optometry, health management, etc., cultivate special talents for prevention and treatment of myopia, and actively carry out research on vision health management for children and adolescents. In conjunction with relevant departments, special supervision and inspection of the allocation of full-time health technicians such as school medical schools in the country will be carried out. In conjunction with relevant departments, we will resolutely control and standardize off-campus training institutions, and carry out full coverage special inspections on the standards of classrooms, lighting, desks and chairs, and electronic products. Respond to the call for talent development, support and promote the development of oled light source, encourage the development of energy-saving eye protection technology enterprises, and promote the health awareness of light source environment such as medicine, teaching and family.

National Health Commission. Comprehensively strengthen the nationwide monitoring network for children's and adolescents' visual health and related risk factors, data collection and information construction. The Ministry of Education set up a national team for children and adolescents in prevention and treatment of myopia and vision health, giving full play to the functions of health, education, sports and other departments, group organizations and social organizations, and scientifically guiding children and adolescents in prevention and treatment of myopia and vision health. By the end of 2019, relevant compulsory standards will be promulgated in conjunction with relevant departments, and the font and paper applicable to textbooks, teaching AIDS, newspapers and other printed materials and publications for children and adolescents shall be conducive to the protection of vision. IN accordance with the relevant national standards for lighting, the health department and relevant departments shall conduct spot check, record and promulgate by "double-random" (random selection of health supervisors, random selection of schools, child-care institutions and off-campus training institutions) on the classrooms (teaching sites) of schools, child-care institutions and off-campus training institutions.

General Administration of Sports. Actively guide and support social forces to carry out various sports activities for children and adolescents, carry out various winter and summer camps, training camps and sports events in a targeted manner, attract children and adolescents to participate in sports. Mobilize social sports instructors at all levels to provide guidance for children and adolescents who participate in physical exercise. Continue to promote various public sports facilities to open for children and adolescents.

Ministry of Finance. Reasonably arrange investment, and actively support relevant departments to carry out comprehensive prevention and control of myopia for children and adolescents.

Ministry of Human Resources and Social Security. In conjunction with the Ministry of Education and National Health Commission, improve the evaluation policies for the titles of primary and secondary schools and colleges, medical schools, health teachers and health education teachers.

General administration of radio, television and other departments. Make use of radio and television, newspapers and periodicals, Internet and new media to promote the prevention and treatment of myopia from multiple levels and angles.

Prevention and control of myopia for children and adolescents is a systematic project. All relevant departments should care, support and participate in the vision protection of children and adolescents. Create a good atmosphere of government-led, departmental cooperation, expert guidance, school education, and family attention in the whole society. Make every child has a pair of bright eyes and a bright future.

Thirdly. strengthen the assessment

The people's governments of all provinces (autonomous regions and municipalities) are responsible for the implementation of prevention and control measures of children and adolescents' myopia in the region. The main leaders must personally take responsibility and take overall responsibility. The State Council and the provincial people's governments sign a statement of responsibility for comprehensively strengthening the prevention and control of children and adolescents' myopia. Local people's governments at various levels shall sign a statement of responsibility at each level.

The children's and adolescents' myopia prevention and control work, overall myopia rate and physical health status are included in the government performance appraisal indicators. Local people's governments at all levels are strictly prohibited from assessing education administrative departments and schools solely on the basis of students' examination results and school enrollment rates. Visual health shall be included in the quality education, physical and mental health of children and adolescents and the burden of school work shall be included in the state compulsory education quality monitoring and evaluation system, and local governments and schools shall be held accountable according to law for the continuous decline of children and adolescents' physical health levels for three years. 

Establish a national assessment system for children's and adolescents' prevention and control of myopia, and the assessment methods shall be formulated by the Ministry of Education, National Health Commission, and the General Administration of Sports. Based on the National Health and Health Commission and the Ministry of Education to verify the myopia rate of children and adolescents in 2018, from 2019, the evaluation of the prevention and control of myopia for children and adolescents of the people's governments of various provinces (autonomous regions and municipalities) will be carried out every year, and the results will be announced to the public.

With the development and the health demand of human beings, young people will face more challenges and pressures. The eye health will be an important topic for us. In addition to the popularization of awareness such as eye habits, the new generation of light source environment Will come into being, the oled will be more suitable for human health and other aspects of health issues after the LED to improve the eye environment. UIV OLED companies will be the leader of healthy optics, combined with practical issues to strengthen the development of human health and science and technology.