以下为致辞全文：
大家早上好！我是古巴公共卫生部副部长，名叫雷诺尔·加西亚。首先，我要感谢组织者为我们提供了参加第七届“一带一路”中医药发展论坛的机会。我们非常感谢这次邀请，并且要传达我们部长何塞·安赫尔·波塔尔·米兰达博士的诚挚问候。他由于本月繁忙的日程安排，无法亲自率领我们的代表团。我想简要与大家分享一下我们的国家卫生系统特点以及我们如何将自然医学和传统医学整合。
在古巴，健康是所有公民的权利，无论政治信仰、性别或宗教。国家有责任为全国公民，尤其是城乡地区的国民，提供免费且高质量的护理、保护和恢复服务。
我们的国家卫生系统是普遍的、免费的、可获得的、区域化的和综合的。这意味着每个人都能在全国各地享受免费的医疗服务，但这些服务是根据地区条件进行区域化的，采用的是综合的视角。我们还有强烈的国际主义观念，已有60.5万名古巴医务人员在160个国家工作，并培养了超过5万名外国的本科和研究生卫生专业人员。对我们而言，社区和跨部门参与是我们公共卫生的基本原则，考虑到我们的系统是建立在强大的初级卫生保健基础上的。当然，自上世纪90年代以来，政府大力支持我们将自然医学与传统医学结合。
为了保障公民的健康权利，我们拥有超过40万名卫生工作者。在古巴，有150家医院，共有62825张床位，113个牙科服务点，149家孕妇之家，301家老人院，12个国家研究所，初级卫生保健级别的451家综合诊所附属于11315个家庭医生办公室。我想在这里强调，自然医学和传统医学已在全国范围内常规整合到常规医疗服务中。
在古巴，我们使用“自然医学和传统医学”这一术语，来指代世界卫生组织所称的“传统补充与整合医学”。我们将自然医学与传统医学视为一种医学专业，采用整体和整合的方式来处理健康问题，运用传统医学系统及其他治疗方式的健康促进、疾病预防、诊断、治疗和康复方法，并与现代西医的常规治疗相结合。正如你们所看到的，这个概念支持一种整合视角。
目前，我们国家有11种被监管的自然与传统医学疗法，包括针灸及相关技术、草药疗法、蜂疗法、顺势疗法、花卉疗法、臭氧疗法、传统运动疗法、医用水疗、阳光-海洋疗法、天然营养疗法以及最近引入的阿育吠陀疗法。
自然医学和传统医学是古巴政府的优先事项之一。它已被纳入国家经济和社会政策的当前指导方针中，公共卫生部领导政府推动其发展的努力。此外，其他部门也为自然医学和传统医学的发展做出了贡献。例如，农业部有169个药用植物农场，种植和收获古巴草药，还提供蜂产品。全国分布有77个天然产品生产中心，以确保这些高度需求的药品的获取。每个省都有一个自然医学和传统医学的参考服务，在医疗服务领域，每个初级保健级别的综合康复服务中都有自然与传统医学的病房，并且大多数医院和国家研究所也整合了这项服务。在医学大学，自然与传统医学是本科生的必修课程，也是所有健康科学专业的课程策略之一。在研究生教育中，医生可以在八所医学大学中进行自然与传统医学的专业化学习。我们的公共卫生部与哈瓦那医科大学合作，领导一个研究计划，以生成支持自然与传统医学所需的证据。
截至2023年底，我们将国家基本天然产品清单中的物品增加到179种，生产了超过1.11亿单位的产品。采用自然与传统医学疗法的医疗服务已达6000万次治疗，其中77.7%在初级保健级别进行。应用最多的疗法是草药疗法和针灸。
我们在将自然与传统医学整合到国家卫生系统中的经验已得到认可，但我们仍有很多工作要做。正因如此，我们的承诺非常坚定，因为我们知道对自然与传统医学的需求很大。正如我们前任总统劳尔·卡斯特罗所说：“这不是解决贫困的办法，而是从财富中寻求选择。”
在结束讲话之前，我要再次感谢所有使我们得以齐聚于此的中国机构，这个优秀的论坛一定会通过“一带一路”促进全球健康，传播可能是这个国家最大的财富——传统中医药。谢谢！
Good morning, everyone! I am the Deputy Minister of the Cuban Ministry of Public Health. My name is Reinol Garcia Moreiro and first I would like to thanks the organizers for giving us the opportunity to participate in this Seventh Belt and Road Forum for Traditional Chinese Medicine Development. We really appreciate the invitation and we must convey a sincere greeting from our Minister, Dr. Jose Angel Portal Miranda, who could not lead our delegation due to his tight agenda this month. I would like to briefly share with all of you the characteristics of our National Health System and how we integrate Natural and Traditional Medicine.
In Cuba health is a right of all citizens, without distinction of political affiliation, sex or religion. The state has the responsibility to guarantee free access and quality of care, protection and recovering services for nationals all over the country, both in urban and rural areas.
Our National Health System is universal, free-of-charge, available, regionalized and comprehensive. It means that everyone has free access to health services, all over the country, but these services are regionalized according to territorial conditions with a comprehensive perspective. We also have a strong internationalist conception, with six hundred five thousand Cuban health collaborators that have worked in one hundred sixty countries and more than fifty thousand pre and postgraduate foreign health professionals trained in Cuba. For us community and intersectorial participation is a basic principle of our Public Health, taking into account that our system is based upon a strong Primary Health Care level. Of course, we also manage to articulate Natural and Traditional Medicine, with a strong Government support since the last decade of the Century.
To guarantee health as a right of our citizens, we have more than four hundred thousand of health workers. In Cuba there are one hundred fifty hospitals with sixty two thousand eight hundred twenty five beds, one hundred thirteen dentistry services, one hundred forty nine maternity homes, three hundred one elderly homes, twelve national research institutes and our main gate to our system are the eleven thousand three hundred fifteen family doctor offices, attached to four hundred fifty one polyclinics at the primary care level. I would highlight here that Natural and Traditional Medicine is routinely integrated into conventional medical care at these facilities, all over the country.
In Cuba we use the term Natural and Traditional Medicine for what WHO calls Traditional, Complementary and Integrative Medicine. We recognize Natural and Traditional Medicine as a medical specialty, with a holistic and integrative approach to health problems using methods of health promotion, disease prevention, diagnosis, treatment and rehabilitation which come from traditional medical systems and other therapeutic modalities that are integrated with each other and with conventional treatments from modern Western Medicine. As you can see, this concept supports an integrative perspective.
There are eleven Natural and Traditional Medicine therapies regulated in our country, including acupuncture and related techniques, phytotherapy, apitherapy, homeopathy, flower therapy, ozone therapy, traditional exercises, medical hydrology, sun-thalassotherapy, natural nutrition and more recently Ayurveda.
Natural and Traditional Medicine is a priority for the Cuban Government. It is included in one of the country’s current guidelines of the economic and social policy and the Ministry of Public Health leads the Government efforts to promote its development. Anyway, other ministries also contribute to Natural and Traditional Medicine. For example, the Ministry of Agriculture has one hundred sixty nine medicinal plants farms where they grow and harvest Cuban herbs, but they also provide with beehive products. A total of seventy seven natural products production centers are distributed all over the country to guarantee access to these highly demanded pharmaceuticals. Every province has a reference service for Natural and Traditional Medicine, but in the medical care area there are also rooms for Natural and Traditional Medicine in every Comprehensive Rehabilitation Service at the Primary Care Level as well as it is integrated in medical services at most hospital and national institutes. At medical universities Natural and Traditional Medicine is a subject for pre-graduate medical students and a curricular strategy for all health science careers. In post-graduate medical education there is a specialization program for doctors, conducted in eight medical universities. Our Ministry with Havana Medical University leads a research program to generate the necessary evidence to support Natural and Traditional Medicine.
By the end of two thousand twenty three we increased the items in our national basic list of natural products to one hundred seventy nine, with more than one hundred eleven million units produced. Medical attentions with Natural and Traditional Medicine therapies rised up to more than sixty million treatments, the seventy seven point seven percent of them at Primary Care Level. The most applied therapies were Phytotherapy and Acupuncture.
Our experience on the integration of Natural and Traditional Medicine into our National Health System has been recognized, but still there is a lot of work ahead. That is why our commitment is strong enough, because we know there is a demand for Natural and Traditional Medicine, because as our former president Raul Castro said: it is NOT A SOLUTION TO POVERTY, BUT AN OPTION FROM WEALTH.
And just before ending my speech I would like to thank again all the Chinese institution that made possible we gather here for such an excellent Forum which will definitely contribute to one global health by promoting throughout the Belt and the Road maybe the greatest treasure of this country: Traditional Chinese Medicine. Xie Xie! Thank you very much!