乙型肝炎疫苗接种纳入儿童计划免疫后的共性问题

Typical Problems after Introducing Hepatics B Vaccine into EPI

为提高乙型肝炎 (乙肝 )疫苗 (HepB)纳入计划免疫后的工作质量 ,对福建省 2 0 0 2年和 2 0 0 3年 1～ 6月HepB常规免疫监测报表、2 0 0 3年福建省计划免疫工作检查结果、2 0 0 3年福建省 1～ 10岁儿童乙肝病毒表面抗原与抗体监测结果等资料进行分析。结果表明 ,HepB纳入计划免疫后 ,规范了HepB的使用和管理 ,三联单的使用使建卡率进一步提高。同时通过这项措施的宣传和HepB的免费 ,全省HepB接种率和接种质量得到全面提高。但也存在一些共性问题 ,建议把新生儿出生后 12h内及时接种HepB和乙肝高效价免疫球蛋白纳入控制乙肝策略 ,使用转移卡四联单 ,从控制人群乙肝发病的高度全盘考虑乙肝疫苗纳入计划免疫工作。

To improve the service quality of EPI after introducing the hepatitis B vaccine immunization,we analyzed the data of routine immunization surveillance report system,the comprehensive review on EPI work in Fujian in 2003 and the surveillance result of hepatitis B immunization level.The results indicated that after incorporating hepatitis B vaccine into EPI with triplicate form application?free vaccine immunization and social mobilization,we standardized the application and management of hepatitis B vaccine,and improved the quality and quantity of vaccination.However,there are still some typical problems existed,therefore,we suggest to take timely vaccinalion of HBV and HBIG within 12h after birth into the EPI strategy for neonatal HB control and apply tetragenous form to meet the target of controlling hepatitis B.