入学入托查验接种证对防控传染病效果评价

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目的了解贵州省入托入学查验接种证工作在学校/托幼机构免疫规划针对传染病控制中的作用,为评价入学入托查验接种证实施效果提供依据。方法通过分析贵州省2004-2009年查验接种证工作统计报表、法定传染病报告系统和麻疹监测系统的相关数据,对中小学和托幼机构接种证查验率、查验疫苗接种情况及其与小学/托幼机构麻疹及其他常见传染病发生的关系进行分析。结果2004年贵州省小学和托幼机构的接种证入学查验率呈逐年上升趋势,并保持在95%的较高水平;入学入托补种以后被查验疫苗全程接种率较入学入托前均明显升高;麻疹/百白破类疫苗补种完成率与该年龄段麻疹/百日咳发病率、学校/托幼机构麻疹暴发占全人群暴发比例均呈负相关,且有统计学意义;3~6岁乙肝疫苗补种完成率与乙肝发病率相关无统计学意义,7~12岁乙肝疫苗补种完成率与乙肝发病率呈现正相关。结论规范开展查验接种证工作,保证被查验疫苗的全程接种率持续维持在较高水平,能有效控制学校/托幼机构免疫规划针对传染病的发病和暴发;有必要将乙肝疫苗纳入免费补种范围,同时逐步增加入学/入托查验疫苗的种类。 Objective To understand the role of vaccination card for admission nursery in Guizhou Province in the control of infectious diseases in immunization programs of schools / nurseries, and to provide basis for evaluating the effect of entry vaccination in Guizhou. Methods By analyzing the data of working statistics of vaccination certificates, legal infectious disease reporting system and measles monitoring system in Guizhou Province during 2004-2009, the rate of vaccination certificates for primary and secondary schools and nurseries was examined, the vaccination status and its relationship with primary school / Nurseries and nurseries and other common infectious diseases were analyzed. Results In 2004, the examination rate of vaccination certificates for primary schools and nurseries in Guizhou Province showed an upward trend year by year and kept at a relatively high level of 95%. The vaccination coverage rate of the vaccinated vaccines after enrollment was significantly higher than that before admission ; Measles / Baibai vaccination completion rate and the age of measles / pertussis incidence, school / nursery institutions measles outbreak accounted for the proportion of the total population were negatively correlated, and have statistical significance; 3 to 6 years old hepatitis B The rate of completion of vaccine replantation was not related to the incidence of hepatitis B, and the completion rate of hepatitis B vaccination of 7-12 years old was positively correlated with the incidence of hepatitis B. Conclusion It is necessary to standardize the work of checking vaccination certificates so as to ensure that the vaccination coverage rate of the vaccines inspected will be maintained at a high level and effectively control the immunization program of schools / nurseries against the outbreak and outbreak of infectious diseases. It is necessary to include the hepatitis B vaccines in free replanting Range, while gradually increasing admission / nursery inspection vaccine types.
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