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Public Health Department

1,A :

You can hang out with your family/friends and chat with them or do the things you enjoy, like listening to music or exercising. These activities should be effective in relieving your stress and changing your mood. But if none of these is helping, you can dial The Suicide Counseling Service of National Help Line (24H), toll free at 0800-788995, the 1995 life line, the 1980 Teacher Chang Foundation’s hotline or seek assistance from the onsite counselors at the New Taipei City Government Public Health Department, New Taipei City Government and let professional psychologists help you with your problems.

2,A :

Be sure to stay by his side and listen to his troubles; try to get him to talk about the root of his problems and seek assistance from relevant organizations at the appropriate occasion. In addition, you can also call the The Suicide Counseling Service of National Help Line at 0800-788-995(24-hour) or our Community Mental Health Center service line at (02) 2257-2623 (services available from Monday to Friday, 8:30 AM to 5:30 PM) to notify our staff regarding your friend’s conditions. Let us work together to care for your friend and provide the appropriate resources (i.e. onsite counseling services available at the Public Health Bureau, referral of social welfare resources, employment information and so forth) to help him resolve his problems and rediscover the goals in his life.

3,A :

In an effort to help the general public overcome their problems, resolve psychological issues and relieve their negative emotions, the Community Mental Health Center has arranged for psychologists to assist residents through counseling sessions that are free of charge. If you need to make a reservation to talk to , it is recommended that you dial the service hotline at (02)2257-2623 or call your Public Health Center to arrange for your session. However, those known to suffer from mental illnesses are recommended to seek medical attention and treatment to resolve their problems through medical help.

4,A :

1. There are currently 10 hospitals (11 locations) in New Taipei City that are affiliated with domestic violence and sexual assault prevention operations. These include: Taipei Hospital (Department of Health, Executive Yuan), Far Eastern Memorial Hospital, En Chu Kong Hospital, Cardinal Tien’s Hospital, Cardinal Tien’s Hospital Yung Ho Branch, Mackay Memorial Hospital Tamsui Branch, New Taipei City Hospital (Banqiao and Sanchong Branch), Buddhist Tzu Chi General Hospital Taipei Branch, Sijhih Cathay General Hospital and Shuang Ho Hospital (Department of Health, Executive Yuan).

2. Services offered at these hospitals include: 

(1) 24-hour admission of emergency cases; assistance with medical care, wound diagnoses and evidence collection. When necessary, these hospitals also offer transfers and psychological support services.
(2) Offers therapeutic room and interview rooms in seclusion to ensure the privacy of patients while providing a safe and secure environment for medical assistance.
(3) Reinforced protection of victim’s profiles to prevent the loss of personal information and media exposure pursuant to the Guidelines & Procedure to Prevent Media Exposure of Victims of Domestic Violence and Sexual Assault.
(4) Efforts have been made to strengthen the training for all medical staff serving at various medical institutions in Taipei County to strengthen their awareness in identifying signs of child abuse during the process of vaccination. The staff has been trained to notify relevant competent authorities when they identify any potential incidence of child abuse.

5,A :

One can make relevant inquiries on the MMT program at any medical institution that is participating in the program and make reservation of initial diagnosis at given time. Patients being diagnosed for the first time will go through a body check up and the doctor will prescribe relevant medication within a few days. The MMT program requires patients to visit the medical institution and take their medication everyday. Methadone can not be taken out of the medical institution or shared . If you have any inquiries, please call New Taipei City Drug Abuse Prevention Center at (02)22570380.  

Medical institutions participating in the MMT program in New Taipei City
Organization Contact No.
Taipei Hospital, Department of Health, Executive Yuan (02) 2276-5566 ext 1208
New Taipei City Hospital, Banqiao Branch (02) 2257-5151 ext 2158
Far Eastern Memorial Hospital (02) 8966-7000 ext 2885
Cardinal Tien Hospital (02) 2219-3391 ext 66908
En Chu Kong Hospital (02) 2672-3456 ext 6118
Tucheng Clinic, Bali Psychiatric Center,
Department of Health, Executive Yuan
02) 2274-5250
6,A :

1. The Department of Health currently offers a subsidy of NT$ 1,500 per case for thalassemia diagnosis and prenatal diagnosis and a subsidy of NT$ 2,000 per case for prental diagnosis and cellular genetic diagnosis.

2. The subsidy is NT$ 5,500 for pregnant women who has low income families live in mountainous areas/off Taiwan proper/remote regions above 34 years of age or women who have previously given birth to a child with congenital birth defects.

3. Expecting mothers eligible for the subsidy shall fill the application form for prenatal diagnosis with the assistance of staff at the medical institution performing the checkup. The staff will assist eligible applicants to subtract the amount of subsidy from the government of the total diagnosis fees and applicants will only have to cover the remaining portion.

4. Please contact your local public health bureau you should have relevant inquiries. 5. As long as expecting mothers meet the required criteria for the subsidy, the subsidy will even be available to foreign (Mainland Chinese) spouses married to Taiwan nationals or if they are Taiwan nationals but are not participating in the National Health Insurance Program.

7,A :

1. Thalassemia is a recessive genetic disease and the most important goal of the diagnosis is to determine if both parties of a couple are carriers of the same type of thalassemias.

2. In Taiwan, a comprehensive screening system has been planned for expecting mothers. After a medical institution has confirmed your pregnancy, the value of your mean cell volume (MCV) would be obtained through the standard blood test during your first prenatal checkup.

3. Don’t neglect your health; ask your obstetrician/gynecologist if he/she has performed the thalassemia screening for you. If he/she did, what are the results of screening? Would amniocentesis be necessary? What are the test results?

8,A :

1. Aminocentesis involves the insertion of a needle into the amniotic sac during the 16th – 18th week of pregnancy with the aid of ultrasound-guidance to extract approximately 20ml of amniotic fluid, which would be used to check if the fetus’ chromosomes to see if they are normal. It requires approximately 2-3 weeks to obtain the results.

2. It is important to note that not all expecting mothers have to go through the aforementioned procedure. It is only when the likelihood of a fetus to develop congenital birth defects are greater than the likelihood of complications from the aminocentesis or when the results of the MSAFP are close (or greater than) 1/270 that you might want to consider having the aminocentesis. There is no reason to perform the aminocentesis if all you want is to know the gender of the fetus in advance.

3. Should you feel doubtful or concerned regarding the safety of aminocentesis, feel free to consult your obstetrician/gynecologist.

9,A :

1. The Down syndrome is a chromosomal disorder caused by the presence of an extra 21st chromosome. The cell of someone with Down syndrome would have 47 chromosomes. The Down syndrome is the most frequently occurring chromosomal disorder and the leading causes of mental retardation. On average, the incidence of Down syndrome comes to one per 800 births. Children with Down syndrome usually have moderate to serious mental retardation with an IQ within 30-50 (the IQ for the average healthy person is usually above 100). In addition, individuals with Down syndrome could also have other physiological complications such as congenital heart diseases and they would require lifelong care from their families and the society.

2. Presently, the MSAFP is not covered by the National Health Insurance. The MSAFP is a screening procedure that needs to be performed in conjunction with other prenatal diagnosis techniques such as the CVS and aminocentesis to confirm diagnoses that suggest a fetus has illnesses such as neural tube defect or Down syndrome. If the results of the screening indicate that the likelihood for a fetus to have Down syndrome were lower than 1/400 (for women in 1st trimester) or 1/270 (for women in 2nd trimester), it means that the chances of the baby being born with Down syndrome are very low and the aminocentesis would not be necessary. However, if the results indicate that the likelihood for the baby being born with Down syndrome were higher than the standard value (with confirmation of pregnancy stage through ultrasound), it is recommended for the subject to take the aminocentesis to confirm if the fetus has Down syndrome. Consult your physician if you wish to find out more about the MSAFP.

3. The chances of conceiving a baby with Down syndrome increase with maternal age. For instance, the probability for an expecting mother at 20 years of age is 1/1222, 1/727 for a pregnant woman at age 30 and 1/307 for a 34-year-old pregnant woman (calculated based on the probability for women in their 2nd trimester). However, although the probability increases with maternal age, only 20% of children with Down syndrome are born to women over the age of 34. The remaining 80% are actually conceived by women under the age of 34.

10,A :

The newborn screening primarily tests newborn babies for five congenital metabolic disorders, including: congenital hypothyroidism (CH), phenylketonuria (PKU), homocystinuria, galactosemia (GAL) and Glucose-6-phosphate dehydrogenase deficiency (G6PD).

11,A :

1. The goal of newborn screening is to preemptively identify congenital metabolic disorders that are recessive in nature so that newborns will be able to receive appropriate diagnosis and care during the golden period of treatment to minimize the adverse effects on the newborn’s physiological/cognitive developments.

2. In order to determine if your baby has congenital metabolic disorders, the medical instution (clinic) will prick the heel of a newborn (48 hours from the time of birth) to get a few drops of blood. The sample will be sent to newborn screening centers designated by the DOH’s Bureau of Health Promotion for relevant testing.

3. Before the results from the screening are available, avoid exposing the baby to naphthalene ball (moth ball) or administer medication without physician’s instruction. If your baby has any health related issues, be sure to consult your pediatrician. Even though your baby has tested (false) positive in the screening, it doesn’t necessarily mean your baby actually has a specific illness. The medical institution (clinic) where you delivered the baby/conducted the screening will assist you in the shortest time to have your baby receive further testing to confirm the results.

12,A :

Presently, the government has designated three institutions to oversee the operation of collective newborn screening tests for newborns across the country. These instutions are: National Taiwan University Hospital Newborn Screening Center, the CFOH and Taipei Institute of Pathology Newborn Screening Room.

13,A :

1. You can contact the medical institution or clinic (that took the baby’s blood sample) where you delivered your baby.

2. Visit the official website of the newborn screening center under the medical institution (clinic) where you delivered your baby or dial their service lines (you can actually find out which screening center to call from the Newborn Screening Notification Slip). The following are the websites and telephone inquiry systems for each screening center: National Taiwan University Hospital Newborn Screening Center (website http://nbs.mc.ntu.edu.tw, Tel: 02-23310209), CFOH (website http://www.cfoh.org.tw, Tel: 02-87681020#1) and Taipei Institute of Pathology (website http://www.tipn.org.tw, Tel: 02-85962065/02-85962050 ext 401 or 403).

15,A :

Typically speaking, a woman in pregnancy should go for her prenatal checkup once every four weeks for the first 28 weeks of her pregnancy (first trimester and second trimester); once every fortnight during the 29th and 36th week of her pregnancy and once per week during the 37th and 40th week.

16,A :

Foreign spouses without household registration in Taipei County and not participating in the National Health Insurance may receive a subsidy of NT$ 600 for prenatal check up, up to five subsidies per baby.

17,A :

1. The applicant should produce the original copy or transcript of her household application, original copy of her ARC or travel documents and submit the application at her local township health station. 

2. The staff at health station will verify the personal identification documentations submitted by the applicant and issue the Prenatal Checkup Record Sheet (five copies) to the applicant. The Prenatal Checkup Record Sheet is to be submitted to the medical attendant when the applicant goes for her prenatal checkup. 

3. The applicant should produce her Prenatal Checkup Record Sheet along with her Expectant Mother Health Handbook when she goes to a medical institution for her prenatal checkup. The medical staff would collect one copy of the Prenatal Checkup Record Sheet per checkup and new sheets will not be issued for misplaced copies.

18,A :

1. Body check: measurements for height, weight, blood pressure, FHR along with examination of fetal position, blood test, urine test and dental/eye/otolaryngological/thyroid gland and breast check up.

2. Interview: the physician will ask for the subject’s history of family illnesses, the subject’s own history of previous pregnancies and provide general pregnancy related healthcare tips.

19,A :

1. Vaginal hemorrhage, regardless of the amount
2. Edema on the face, fingers and calves
3. Serious and persisting headache
4. Blurry vision
5. Abdominal pain 
6. Severe and persisting regurgitation 
7. Sudden fever and aversion to cold
8. Unexpected vaginal secretion 
9. Reduced amount of urine
10. Rapid weight gain

20,A :

Visit the medical institution where you had your original checkup or your local health station to apply for a new copy.

21,A :

If a pregnant woman experiences lower abdominal pain and vaginal hemorrhaging during the early stages of her pregnancy, it could be the warning signs of miscarriage. If you experience these symptoms, rest in your bed and try to remain calm. Seek medical attention immediately if the bleeding persist/worsens with increased volumes or if you find blood lumps.

22,A :

Pregnant women should avoid climbing or lifting heavy objects. Similarly, care should be taken to avoid falling and injuries. Pregnant women should refrain from exhausting themselves physically and avoid unnecessary long trips. It is helpful for pregnant women to keep a pleasant mindset. Watch out for diarrhea and fever. Those who had prior experience with miscarriage, premature delivery or uterus surgeries should refrain from sexual activities during the early and final stages of their pregnancy. Make it a habit to have regular prenatal checkups and be sure to seek medical attention immediately should you fall ill and avoid taking patent medicine without prescription.

23,A :

A pregnancy is defined as high-risk pregnancy when specific congenital factors of the mother or fetus exist that could lead to the death or deformity of the fetus/newborn. In addition, high risk pregnancy poses significant danger to the mother as well. Pregnant women are advised to have their routine prenatal checkups to understand various changes that take place during the gestation period to confirm the nature of the pregnancy.

24,A :

There are several factors that could lead to high-risk pregnancy. For example, becoming pregnant under the age of 18 or over the age of 34 would constitute high-risk pregnancy. In addition, women with previous experience of high-risk pregnancy or specific illnesses (i.e. diabetes), infection (i.e. rubella), exposure to harmful radiations or substance abuse and so forth also face the dangers of high-risk pregnancy.

25,A :

Women in pregnancy are prone to oral related illnesses due to the following reasons and should pay special attention to their oral hygiene:

1.The saliva of women in pregnancy is acidic and viscid

2.Increased likelihood of food residues in the oral cavity due to changes in dietary habits and increased frequency of food intake

3.Sloppiness with oral cavity cleaning due to exhaustion or laziness

4.Weakened gum tissues due to physiological changes

5.Inadeuqate calcium intake from food

26,A :

1. Be sure to brush your teeth and rinse your mouth after eating

2. Brush your teeth and rinse your mouth after regurgitation

3. Massage your gums with your fingers to fortify the resistance of your teeth

4. Go for an oral cavity checkup once during your 1st trimester and once during your 2nd trimester to identify any potential issues so that you may receive early treatment.

5. Seek treatment from your dentist should you discover any dental issues.

27,A :

1.Be sure to brush your teeth and rinse your mouth after eating

2.Brush your teeth and rinse your mouth after regurgitation

3.Massage your gums with your fingers to fortify the resistance of your teeth

4.Go for an oral cavity checkup once during your 1st trimester and once during your 2nd trimester to identify any potential issues so that you may receive early treatment.

5.Seek treatment from your dentist should you discover any dental issues.

28,A :

Nutritional intake by the mother will affect the health of the fetus. Due to the physiological changes that the mother may be experiencing, the nutritional needs of the fetus to grow and to ensure a safe delivery, pregnant women should pay special attention to their own nutritional intake to prevent damages to the health of the fetus and their own health.

29,A :

Nutritional intake by the mother will affect the health of the fetus. Due to the physiological changes that the mother may be experiencing, the nutritional needs of the fetus to grow and to ensure a safe delivery, pregnant women should pay special attention to their own nutritional intake to prevent damages to the health of the fetus and their own health.

30,A :

Generally speaking, a woman in pregnancy should gain around 10-14kg of additional weight; during the initial stage of pregnancy, a woman should gain around 1-2kg of weight; 4-5kg during the 2nd trimester and another 5-6kg during the 3rd trimester.

31,A :

Women in pregnancy should have a balanced diet of food from all five major categories by adhering to the following guideline:

1.Carbohydrate: grains and fats are primary sources of carbohydrates.

2.Protein: ideally, women in pregnancy should obtain at least 50% of protein from animal food and minerals, primarily calcium and iron. Main sources of calcium include: milk, dried fish, shrimps, laver, purple laver, seaweed, clams, oyster and so forth. It is recommended that pregnant women drink two glasses of milk on a daily basis. Main sources of iron include: egg yolk, lean meat, meat floss and internal organs (liver, kidney and so forth) of animals.

3.Vitamins: Pregnant women should eat more vegetables that are deep yellow/red/green in color for adequate supply of Vitamins A and C. As long as there’s adequate amount of protein and carbohydrate in the diet, there shouldn’t be any concern with lack of vitamin intake.

4.Obtain suitable amount of dietary fiber and water to prevent constipation.

5.Seek advice from qualified medical personnel or nutritionists for doubts on a suitable diet for women during pregnancy.

32,A :

There is no specific taboo when it comes to food as long as you are not suffering from any illnesses during your pregnancy. However, make it a point to avoid the following items:

1. Be sure to avoid smoking and drinking

2. Refrain from drinking coffee or strong tea

3. Avoid foods that are high in fat content

4. Decrease the amount of sodium intake in your diet

5. Avoid stimulating seasonings and food.

33,A :

The nicotine found in cigarettes is known to affect the development of the fetus in the placenta and could lead to miscarriage, preterm delivery and low birthweight babies. The negative effect is even more pronounced for expecting mothers who smoke more than a pack of cigarettes a day. On a related note, women in pregnancy should take care to avoid environments where they would be exposed to second hand smoke. Alcohol ingestion during pregnancy could result in serious health related issues for the newborn, such as light birthweight, slower intellectual development, congenital deformation and so forth.

34,A :

Moderate physical exercise during pregnancy offers the benefits of relaxing the muscles and reducing fatigue for expecting mothers. It not only alleviates some of the discomforts associated with pregnancy but also facilitates smooth delivery of the baby.

35,A :

Apart from the usual daily activities and strolls, pregnant women may engage in various physical exercises (such as waist exercises, leg exercises, breathing exercises and so forth) depending on their physical conditions under the guidance of medical staff. Pregnant women should cultivate the habit of exercising on a daily basis and persevere in the habit; increase the frequency and duration of exercise sessions gradually but avoid overexertion.

36,A :

1.When you wake up in the morning, eat a light breakfast such as bread or biscuits and rest for 30 minutes in bed before getting up.

2.Eat several light meals over the course of a day and make sure you don’t get hungry. Dry food is preferable and it is recommended that pregnant women ingest food once every two hours. Pay attention to your intake of liquid food, especially if your urine has darkened in color or when you are constipated. It would be a good idea to ingest liquid food in between meals.

3.Avoid irritating odors such as grease or the smell of fish; engage in activities that would help you relax. 4.Seek medical attention if you are experiencing symptoms such as significant weight loss or severe vomiting.

37,A :

Most women are known to experience dizziness during pregnancy (caused by a number of factors such as having a hearty meal, being exposed to strong sunlight in a poor ventilated place, physical exhaustion, anemia, low blood glucose and so forth). You should avoid long periods of standing and direct exposure to strong sunlight. In addition, when changing your posture, be sure to do it slowly. When you feel dizzy, sit down immediately to prevent falling. You should always eat breakfast and if you are suffering from anemia, be sure to replenish iron intake. Be sure to take ample rests and take afternoon naps. If you are experiencing persisting dizziness, consult your physician.

38,A :

During pregnancy, the growth of the fetus may result in the expansion of the uterus. As a result, the expecting mother will experience increased burden on her waist and back due to the shift of her body’s gravity. This will in turn lead to fatigue and back pain for women during pregnancy. This is why pregnant women should maintain appropriate posture at all times and refrain from prolonged sitting or standing. Be sure to have ample rests and wear shoes with low heels or flat soles. It also helps to engage in exercises during pregnancy under the guidance of a medical attendant.

39,A :

You might experience increased vaginal secretion due to hormonal changes during pregnancy. It is a good idea to shower on a daily basis to keep your genitals clean and choose undergarments made from absorbent, cotton material; avoid wearing undergarment and stockings made from nylon. Go to your obstetrics & gynecology doctor when you notice weird odor from your vaginal secretion/color change in your vaginal secretion or when you experience irritation/discomfort at the posterior section of your genitals.

40,A :

1.If you experience cramps in your calves, lie flat on a smooth surface and extend your legs fully with your heels resting on a wall. You can also seek help from another person by having him/her holding your knee with one hand and pushing your feet inwards toward your calves to stretch your calf muscles. Alternately, simply stand upright and straighten your legs with your heels touching the ground. If the cramp worsens, seek medical help.

2.Do not over exhaust yourself; increase intake of food that are rich in calcium contents such as milk, ribs, dried fish and so forth to increase intake of vitamins. When sleeping, keep your lower limbs warm and lie on your side.

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