北京市朝阳区外来学龄前儿童强化查漏补种效果评价

The Effective Evaluation on the Supplementary Immunization Activities among the Migrant Pre-school Children in Chaoyang District of Beijing

目的评价北京市朝阳区2005～2007年外来学龄前儿童强化查漏补种效果,为制定外来儿童免疫策略提供依据。方法应用描述流行病学方法分析强化查漏补种数据。结果北京市朝阳区2005～2007年外来学龄前儿童环比增长率分别为12.67%和4.60%,建预防接种证、卡率呈逐年增长趋势;口服脊髓灰质炎减毒活疫苗、麻疹减毒活疫苗、脑膜炎球菌多糖疫苗、百日咳-白喉-破伤风联合疫苗和流行性乙型脑炎疫苗零剂次免疫率呈逐年下降趋势;免疫规划疫苗针对传染病的年龄发病专率和构成比有所下降。结论对外来学龄前儿童强化查漏补种是有效的管理模式。

Objective To evaluate the effect of Supplementary Immunization Activities （SIAs） among the migrant preschool children in Chaoyang district of Bejing since 2005 to 2007, and to provide reference for formulating the strategies for Expanded Program on Immunization （EPI）. Methods The descriptive epidemiology was used to analyze the data of SIAs among the migrant preschool children in Chaoyang district since 2005 to 2007. Results The SIAs data demonstrated an increasing number of the floating preschool children in Chaoyang district from 2005 to 2007, and the increase rate of year-on-year in 2006 to 2007 was 12.67% and 4.60% respectively. The registration rates of immunization card and identification among the floating preschool children increased by years from 2005 to 2007. The zero-dose rates of Oral Polio Vaccine （OPV）, Measles Vaccine （MV）, Diphtheria-Pertus-sis-Tetaus vaccine （DPT）, Meningococcal Polysaccharide Vaccine （MPV） and Japanese Encephalitis Vaccine （JEV） showed a decrease trends since 2005 to 2007. The age special incidence rate and proporation of vaccine-preventable diseases for the people who were 1-4 years old decreasded. Conclusion It is an effective management pattern that the government plays a dominated role in Supplementary Immunization Activities （SIAs）.