湖北省2006年儿童入托和入学查验预防接种证效果评价  

Evaluation of examining children' s vaccination certificates before entering the nursery/primary school in Hubei province(2006)

作　　者：李书华[1] 刘勋[1] 陈国英[1] 张发香[1] 郑莉[1] 郑景山[1] 

机构地区：[1]湖北省疾病预防控制中心,武汉430079

出　　处：《公共卫生与预防医学》2008年第2期35-38,共4页Journal of Public Health and Preventive Medicine

摘　　要：目的评价湖北省儿童入托和入学查验预防接种证的效果,探讨有效管理方法。方法收集儿童入托和入学查验预防接种证和补证、补种疫苗的报表资料,并进行分类比较和统计分析。结果湖北省2006年有95个县(市、区)开展儿童入托和入学查验预防接种证工作,占全省县(市、区)数的93.14%(95/102)。共查验小学9490所、托幼机构4947所,分别占应查小学、托幼机构的86.03%(9490/11031)和89.44%(4947/5531)。查验儿童1501715人,占应查验人数的81.36%(1501715/1845875)。需补办儿童预防接种证250649人,占查验儿童的16.69%(250649/1501715),补办儿童预防接种证185816人,占需补证人数的74.13%(185816/250649)。需补种疫苗283667人,占查验儿童的18.89%(283667/1501715),补种疫苗241140人,占需补种疫苗人数的85.01%(241140/283667)。卡介苗(BCG)、口服脊髓灰质炎(OPV)、麻疹(MV)、乙肝(HepB)、百白破(DPT)和白破疫苗(Td),分别补种13588人次、90235剂次、151666人次、57064人次、73944人次和99622人次,占应补种疫苗人次数的75.12%、90.82%、91.43%、78.28%、88.32%和87.66%。6种疫苗补种人/剂次百分率差异有非常显著性意义(18.27<χ2<11647,P<0.001)。儿童平均补种疫苗2.02针/剂次。结论湖北省2006年儿童入托和入学查验预防接种证工作取得明显成效,但查验工作的质量尚有待提高,教育、卫生部门的协调和配合还需进一步加强。Objective To evaluate the outcome of examining the vaccination certificate of children before entering the nursery / primary school so as to promote the children＇s vaccination coverage. Methods The reporting data of the vaccination certificate survey were collected,classified and analyzed. Results In 2006,95 counties developed vaccination certificate survey,accounting for 93.14% of the total of 102 counties. 1 501 715 children in 9 490 primary schools and 4 947 in nurseries were examined, among them,250 649 children needed to make up the missed vaccination certificates;and some other children though with certificates, actually not being vaccinated. Therefore, 283 667 children needed to make up the missed vaccines. Only 85.01% （241 140） children received. BCG 13 588,OPV 90 235,MV 151 666,HepB 57 064,DPT 73 944 and Td 99 622 respectively. The making up immunization rate was 75.12% ,90. 82% ,91.43% ,78.28% ,88.32% and 87. 66% ,respectively. There was significant difference of supplementary immunization rate and dose times between the 6 vaccines （18.27 〈 χ^2 〈 11 647,P 〈 0. 001 ）. On the average, every child accepted supplementary immunization for about 2. 02 doses. Conclusion Great progress was achieved in examining vaccination certificate for children before entering the nursery / primary school in Hubei province in 2006. However, quality control should be further enhanced by strengthening the coordination between the education and health departments.

关 键 词：入托入学 查验 预防接种证 

分 类 号：R186[医药卫生—流行病学]