如何加强计划免疫的科学管理,做到规范化、制度化,对保持高接种率和提高接种质量,有效地控制相应传染病的发生是非常重要的。敦煌市多年来注重计划免疫的科学管理,收到了较好的效果。全市四苗接种率自1986年起一直保持在90％以上,相应传染病已得到有效控制。脊髓灰质炎已连续14年没有发病,麻疹已连续5年无病例,百日咳连续7年无疫情,实现了国 How to strengthen the scientific management of planned immunization to achieve standardization and institutionalization is very important for maintaining high vaccination rates and improving the quality of vaccination and effectively controlling the occurrence of contagious diseases. Dunhuang City has focused on the scientific management of planned immunization for many years and has received good results. The city’s four-vegetable inoculation rate has been maintained at more than 90% since 1986, and the corresponding infectious diseases have been effectively controlled. Polio has not been onset for 14 consecutive years, measles has been absent for 5 consecutive years, pertussis has been absent for 7 consecutive years, and achieved