A senior health official has called on governments at all levels to help relieve the burden on families wanting to have a second child.

Cui Li, vice-minister of the National Health and Family Planning Commission, said on Tuesday that an array of departments need to introduce measures to help resolve issues that have arisen with the introduction of the second-child policy in January 2016.

Health authorities have been rolling out policies nationwide since family planning rules were relaxed, including improvements to maternal care facilities.

However, Cui warned that families will need help from other government departments to handle some problems, including increased expenses, maternity leave and a shortage of kindergartens.

“We hope through the efforts of governments at all levels … some tangible policies can be made in areas such as taxation and social security to promote the implementation of the policy so that those who want to have a second child can realize their dream,” she said.

“We will focus on problems that emerge as a result of the policy and work to solve them with other departments,” she said, adding that the second-child policy has already yielded positive results.

Cui said 18.7 million babies were born in China last year, up by 11 percent on 2015, with 45 percent born to women who already had a child.

Over the same period, the maternal mortality rate fell from 201 per 1 million births to 199, according to data released by the commission last month, despite the fact half of the 90 million women who became eligible to have a second child are over 40－putting them at a higher risk of complications during pregnancy.

A report released in December by the All China Women’s Federation and Beijing Normal University also called for more investment in public services to make having two children easier and more affordable.

The report included a survey of 10,155 couples in 21 cities who already have a child that found 53 percent did not want a larger family. The biggest concerns were education resources, healthcare services, the environment and the financial burden.

Cui added that the commission has received a lot of advice from the National People’s Congress, the top legislature, and the Chinese People’s Political Consultative Conference, the top advisory body, on implementation of the second-child policy, including measures to improve pediatric services.

The commission received 1,512 suggestions on various healthcare issues from the two bodies last year, she said.

Xi Yanchun, a spokeswoman for the State Council Information Office, added that ministries and departments under the nation’s Cabinet responded to 7,873 suggestions from the NPC and 3,862 from the CPPCC last year.

They included economic development, poverty alleviation and environmental protection proposals, Xi said.

A 10-year reform that has shaken off China’s dependence on executed inmates as the primary source for transplant organs has brought the country to the Vatican to share on the world stage its experience in combating organ commercialism.

Huang Jiefu, a former vice-minister of health and now director of the National Human Organ Donation and Transplant Committee, was invited by the Vatican’s Pontifical Academy of Science to speak about the “China model” of organ donation and transplant management at the two-day Summit on Organ Trafficking and Transplant Tourism that opened on Tuesday.

“This is the first time that China has been invited to a summit on organ transplanting held by an authoritative international organization,” Huang was quoted by the Global Times as saying on Monday. He could not be reached for comment on Tuesday.

Chen Jingyu, deputy director of Wuxi People’s Hospital in Jiangsu province and a leading lung transplant specialist, said such an invitation is “a New Year gift for us Chinese transplant surgeons who have been gradually recognized by international peers”.

In response to speculation on whether the invitation marks an improvement in China-Vatican relations, Foreign Ministry spokesman Lu Kang said on Tuesday at a regular media briefing that Huang’s participation “has nothing to do with the development of the bilateral relationship”.

China first performed a transplant in the 1970s, and Huang acknowledged in 2005 that a majority of the organs transplanted were harvested from executed prisoners.

To conform with international practice, China launched a public organ donation system and announced in 2015 that the use of organs from executed inmates had ceased.

By the end of last year, about 28,000 major organs such as livers, kidneys and lungs were harvested from nearly 10,000 donors who had died, according to data from the National Health and Family Planning Commission.

More than 140,000 people have registered under the organ donation system, according to the China Organ Transplantation Development Foundation, an organization under the commission.

“That demonstrates the great benevolence of the Chinese and an ever-increasing voluntarism,” Huang said earlier.

That helps China gain international acclaim and, more important, “sustain the development of organ transplantation here”, said Guo Zhiyong, a leading liver transplant surgeon at the First Affiliated Hospital of Sun Yat-sen University in Guangzhou, Guangdong province.

“I consider the invitation by the Vatican a recognition and huge encouragement for China’s organ transplantation field,” he said.

“An increasing Chinese involvement in global academic exchanges in transplants also benefits the world, since China ranks second in the world in the number of transplants, second only to the United States,” Guo added.

Chen, from Wuxi People’s Hospital, urged more Chinese surgeons to participate in international academic communications and “inform the world of China’s changes”.

However, there is still a long way to go before China’s organ donations fully satisfy the demand, said Huang, the former vice-minister of health.

Although China performs about 10,000 transplants a year, 300,000 patients are waiting for organs, previous reports said.

Marathon running is gaining rising popularity in China these days. Eight marathons were held in January in the country. However, runners’ awareness of injury prevention lags behind.

A recent survey conducted among around 10,000 runners by iranshao.com, a website focused on running, shows that over one third of runners have had knee injuries, about one fifth have had foot or waist injuries, about one seventh have had ankle injuries or suffered from plantar fasciitis, and only 15.7 percent haven’t had any injuries, which means six of seven runners have had injuries related to running.

In 2016, China held 328 marathons, attracting about 2.8 million participants, a massive 85 percent increase over 2015.