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目的了解大同市儿童麻疹高流行的原因,为干预政策的制定提供依据。方法查阅资料核实大同市预防接种证查验工作进展情况,在每县随机抽取1～2个预防接种点对其预防接种卡的填写工作进行调查。结果43%的县区教育行政部门未对预防接种证查验给予过配合,41.67%县区的学校未参与儿童预防接种证查验工作。调查麻疹首针合格接种率为96.09%,麻疹加强免疫接种率为70.77%。结论麻疹的高流行与学校开展预防接种证查验工作不落实及加强免疫针次的漏种严重有紧密联系。
Objective To understand the causes of the high prevalence of measles in children in Datong and provide the basis for the formulation of intervention policies. Methods Access to information to verify the progress of the inspection of vaccination card in Datong, randomly selected from 1 to 2 vaccination sites in each county to investigate the filling of vaccination cards. Results 43% of county educational administrative departments did not check the vaccination certificate, 41.67% of counties and districts did not participate in the examination of vaccination certificates. The first case of measles measles vaccination rate was 96.09%, measles to strengthen the immunization rate was 70.77%. Conclusions The high prevalence of measles is closely linked to the failure of the school to carry out the examination of vaccination certificates and to the serious omission of immunization needles.