上海市普陀区扩大免疫规划实施和效果评价

Implementation and effect evaluation of national expanded program on immunization in Putuo District of Shanghai

[目的]总结2009年普陀区0～6岁学龄前儿童实施扩大免疫规划的效果。[方法]综合分析扩大免疫实施前后的接种率调查、不良反应监测和扩大免疫相关疫苗预防传染病的疫情等资料。[结果]扩大免疫实施后共调查526名适龄儿童,相关疫苗接种率基本达到95%;不良反应报告率为81.44/10万;扩大免疫相关疫苗针使传染病发病总体均呈下降趋势。[结论]部门间密切配合、充分准备、有效保障是大规模接种工作开展的基础;需进一步加大外来儿童的管理力度;加强主动发现疫苗接种后不良事件(AEFI)的力度,提高AEFI监测的敏感性;加强扩大免疫相关疫苗预防传染病流行特征的监测。

[ Objective] To evaluate the effectiveness of the national expanded program on immunization （EPI） among pre-school children in Putuo District. [ Methods] Vaccination rates, adverse reactions and vaccinerelated infectious diseases were analyzed among preschool children before and after EPI implementation. [ Results ] A total of 526 children were surveyed after EPI implementation. Vaccination rate reached 95%, adverse reactions rate was 81.44 per 100,000 caes, and the incidence rate of EPI vaccine-related infectious diseases decreased. [ Conclusion] Close cooperation among different departments,full preparation and effective support are the basis of expanded program on immunization. Management should be strengthened of floating children. Surveillance sensitivity of AEFI should be strengthened. And the surveillance of epidemic characteristics of EPI vaccine-related infectious diseases should be strengthened.