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作 者:杨世宏[1] 韩一楠[1] 汪海波[2] 杨月[1] 林茜[1]
机构地区:[1]大连市疾病预防控制中心,辽宁大连116021 [2]中国疾病预防控制中心,北京100050
出 处:《预防医学论坛》2013年第7期506-508,共3页Preventive Medicine Tribune
摘 要:目的掌握大连地区儿童免疫规划疫苗预防接种现状。方法采用容量比例概率抽样法(PPS)对大连市2007年1月1日至2009年12月31日出生的305名儿童,进行免疫规划疫苗的接种率调查。结果 305名儿童,建卡率为99.67%,建证率为93.44%,结核疫苗(BCG)、口服脊灰疫苗(OPV1-3)、百白破疫苗(DPT1-3)、麻疹疫苗(MV)、乙肝疫苗(HepB1-3)五种疫苗基础免疫接种率均超过95%,乙肝疫苗首针及时接种率为95.16%,五苗全程接种率为98.79%。实施扩大国家免疫规划后甲肝疫苗(HepA)、A群流脑疫苗第一剂、第二剂(MenA1-2)及乙脑疫苗第一剂(JE-I1)接种率分别为91.53%、92.41%、87.41%及90.29%,且流动儿童流脑疫苗接种率(MenA1 88.24%、MenA279.73%)显著低于本地儿童(MenA1 93.61%、MenA2 89.77%)。流动儿童疫苗合格接种率明显低于本地儿童(P<0.01),未种疫苗剂次数明显高于本地儿童。结论实施扩大国家免疫后新纳入疫苗的接种需进一步加强,流动儿童的免疫预防工作应引起重视并加强管理。Objective To study the immunization status of vaccines in children born dion status of vaccines in chil- dren born during 2007-2009 in Dalian city. Methods Finite population sampling was involved in investigation of immu nization of vaccines in 305 children born from Janurary 1,2007 to December 31,2009. Results In 305 children who had clear vaccination records, the rates of certificates and cards were 99.67 % and 93.44 % respectively, the immunization cov- erage rates of BCG,OPV1-3, DPT1-3, MV, and H epB1-3 were all above 95.00 %. 95.16 % children were immunized with timely HepB1. The full immunization coverage rate of 5 vaccines was 98.79%. After enlarging the national immunization program,the immunization coverage rates of HepA, MenA1, MenA2 and JE-I1 were 91.53%, 92.41%, 87.41%, and 90.29 % respectively, but the vaccines coverage rate of MenA among migrant children(MenA1 88.24 %, MenA2 79.73 % ) was lower than that in local children(MenA1 93.61%. MenA2 89.77%). The qualified vaccine coverage rate among mi- grant children was lower than that in local children( P 〈0.01) ,and the unvaccinated quantity among migrant children was higher than that in local children. Conclusion After enlarging the national immunization program, the immunization coverage rates of new vaccines should be strengthened. Migrant children immunization prevention should be focused on and management should be strengthened.
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