内蒙古自治区4岁以下儿童麻疹疫苗强化免疫活动分析  

Analysis of measles supplementary immunization in children under 4 years old in Inner Mongolia province

作　　者：闫绍宏[1] 李彬[1] 冯中强[1] 武贵森[1] 段术琴[1] 

机构地区：[1]内蒙古疾病预防控制中心,呼和浩特010031

出　　处：《医学动物防制》2011年第9期806-807,810,共3页Journal of Medical Pest Control

摘　　要：目的内蒙古自治区在麻疹疫苗强化免疫前后的现场调查、评估,并对麻疹监测系统和传染病报告系统的疫情资料进行分析。方法所有8月龄～4岁儿童接种1剂麻疹疫苗,每剂次0.5mL。结果此次强化免疫接种儿童903 926人,调查和报告接种率均为97%以上;2010年麻疹发病人数明显减少,发病率仅2.83/10万,较2009年发病率6.03/10万下降53.07%;2010年麻疹监测系统数据显示,8月龄～4岁年龄组麻疹病例205例,与2009年相比麻疹发病率下降46.61%,57.29%的麻疹病例发生在8月龄～14岁,约85.80%病例无免疫史或免疫史不详,麻疹疫苗强化免疫疑似预防接种异常反应报告发生率为3.42/10万。结论高质量强化免疫是迅速控制麻疹流行、降低麻疹发病率的重要措施。为保持MV强化免疫取得的成果,必须提高常规免疫接种率,加强入托、入学查验预防接种证制度,使漏种儿童得到补种,同时在强化免疫后开展麻疹后续强化免疫。Objective To understand field investigation and evaluation results before and after measles supplementary immunization in Inner Mongolia province,and analyze the epidemic data of measles monitoring system and infectious disease reporting system.Method All 8-month-old to 4-year-old children were immunized a measles vaccine,each dose 0.5ml.Results Totally of 903 926 children were immunized,both reported and surveyed inoculation rate were over 97%.Measles cases decreased remarkably at 2010 and the incidence rate was only 2.83/100 000,it descended 53.07%than 2009（6.03/100 000）.According to monitoring system,there were 205 cases in 8 months to 4 years old group in 2010.Compared to 2009,measles incidence rate was descent 46.61%,57.29% of the cases happened in 8 months to 14 years old,85.8% had no immunization records or not clear.The reported measles vaccinations incidence rate of adverse events following immunization（AEFI） was 3.42 per 100 000.Conclusions High quality of supplementary immunization was the important measures to control measles prevalence and lower incidence rate.In order to remain the achievements of measles supplementary immunization,we should improve routine immunization coverage rate,strengthen the checking institution of vaccination certificates of children who went to kindergartens and primary school,and replanting when need,at the same time developed the follow-up reinforcement immunization.

关 键 词：麻疹减毒活疫苗 强化免疫 效果评价 

分 类 号：R511.1[医药卫生—内科学]