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目的了解入托、入学查验接种证工作开展现况及影响因素,为儿童预防接种工作扎实开展提供科学依据。方法按照《南阳市卫生局关于开展2009年秋期入学入托儿童预防接种证查验及适龄儿童摸底登记活动的通知》要求,对河南油田所属9所托幼机构和8所小学的2009年秋期入托、入学新生的接种证持证情况,以及国家免疫规划疫苗接种情况进行查验。结果接种证查验单位覆盖率为100%(17/17);预防接种证持有率为89.5%,其中托幼机构为93.1%,小学为87.8%;有包括卡介苗、脊髓灰质炎疫苗(基础)、百白破三联、麻疹疫苗、乙肝疫苗、A群流脑疫苗、麻风二联疫苗、麻腮二联疫苗等8种疫苗接种率超过90%;接种率不足90%的疫苗包括A+C群流脑疫苗、乙脑疫苗、甲肝疫苗、脊髓灰质炎疫苗(第4剂)和白破二联。脊髓灰质炎疫苗第4剂、A群流脑疫苗、A+C群流脑疫苗和乙脑疫苗接种率,小学均低于托幼机构,差异有统计意义(χ12=98.1,χ22=22.3,χ32=246.7,χ24=443.5,P1-4<0.01),而麻风二联疫苗接种率小学高于托幼机构(χ2=11.22,P<0.01)。对所有缺证、漏种儿童进行了逐个通知和补证(种)。结论河南油田托幼机构及小学新生预防接种证查验工作开展情况良好。但仍应切实落实相关规定,托幼机构及小学应进一步主动做好新生入托、入学预防接种证查验工作。
Objective To understand the current status and influencing factors of inoculation and admission vaccination certificates, and provide a scientific basis for the safe vaccination of children. Methods According to the requirements of “Notice of Nanyang Municipal Health Bureau on Carrying Out the Immunization Certificate of Preventive Vaccination for Children Enrolled in the School in Autumn 2009 and the Registration of Pregnancy-type Children at the End of 2009”, 9 nurseries and nurseries owned by Henan Oilfield and 8 primary schools were entrusted and admitted in the autumn of 2009 Newborn vaccination certificate status, as well as the national immunization program vaccination check. Results The coverage rate of vaccination certificates was 100% (17/17). The vaccination certificates were 89.5%, of which 93.1% were nursing care providers and 87.8% in primary schools. Some of them included BCG and poliomyelitis vaccines (basic) , Diphtheria triple triple, measles vaccine, hepatitis B vaccine, A group meningitis vaccine, leprosy two vaccine, Mumps two vaccines vaccination rate of more than 90%; vaccination rate of less than 90% of the vaccine, including A + C group Meningitis vaccine, hepatitis B vaccine, hepatitis A vaccine, poliomyelitis vaccine (4) and white broken two together. The poliomyelitis vaccine group 4, group A meningitis vaccine, group A + C meningitis vaccine and Japanese encephalitis vaccine were lower than those of nurseries in primary school (χ12 = 98.1, χ22 = 22.3, χ32 = 246.7, χ24 = 443.5, P1-4 <0.01), while the leprosy vaccination rate in primary schools was higher than that in nurseries (χ2 = 11.22, P <0.01). For all the lack of evidence, missed children one by one notice and certification (species). Conclusion The examination of vaccination certificates for nurseries and primary freshmen in Henan Oilfield is in good condition. However, the relevant provisions should still be earnestly implemented. Nurseries and primary schools and primary schools should further take the initiative to do a good job in examining new vaccination certificates and admission vaccination certificates.