2015年北京市大兴区青云店镇学龄前流动儿童强化查漏补种结果分析

Analysis on supplementary immunization activities for pre-school migrant children in Qingyundian town of Beijing,2015

目的分析评价2015年北京市大兴区青云店镇学龄前流动儿童强化查漏补种效果,了解流动儿童预防接种情况。方法采用描述流行病学方法,对2015年北京市大兴区青云店镇强化查漏补种数据进行分析。结果共调查流动儿童2 715名,强化查漏补种前流动儿童建卡率98.23%,建证率99.89%,脊髓灰质炎减毒活疫苗（OPV）零剂次率为0.15%,非零剂次率0.33%,麻风减毒活疫苗（MR）、麻风腮减毒活疫苗（MMR）、脑膜炎球菌多糖疫苗（MPV）、百白破联合疫苗（DPT）、流行性乙型脑炎疫苗（JEV）零剂次率为0.11%-0.63%,乙型肝炎疫苗（Hep B）无零剂次漏种。强化查漏补种后的建卡、建证及疫苗补种/预约率达到100%。结论流动儿童主要集中在靠近南六环的地区,居住〈2月儿童建卡率较低,OPV零剂次主要集中在小年龄组,而OPV非零剂次随流动儿童年龄的增长呈现上升趋势,其他疫苗（MR、MPV、DPT）零剂次率小年龄组高于较大年龄组儿童。提示在当地居住时间较短的和小年龄组的流动儿童是免疫规划的重点人群,日常通过多种渠道及时获得流动儿童的信息是关键,同时要加大宣传力度,从而提高流动儿童各种疫苗的接种率,降低疫苗相关疾病的发生。

Objective To analyze and evaluate the immunization status of the migrant preschool children in Qingyundian town of Daxing district,Beijing in 2015,and improved vaccine coverage. Methods The description epidemiology method was used to analyze the supplementary immunization data in Qingyundian town in 2015. Results 2715 floating children were included in the study. The rates of establishing immunization card and certificate were 98. 23% and 99. 89%,respectively. The attenuated polio vaccine（ OPV） zero dose rate was 0. 15%,the non-zero dose rate was 0. 33%. The leprosy live attenuated（ MR）,attenuated the MMR vaccine（ MMR）,meningococcal polysaccharide vaccine（ MPV）,joint the DPT vaccine（ DPT）,epidemic encephalitis b vaccine（ JEV） zero dose rates ranged from 0. 11% to 0. 63%. The hepatitis b vaccine（ Hep B） showed no zero dose of the species. We should think highly of the supplementary immunization. The rates of establishing immunization card and certificate,building certificate,supplementary immunization were all 100%. Conclusion The migrant children mainly reside in the region near the Sixth Ring Road. The rate of establishing immunization card in children 〈2 month is low. Zero dose of OPV mainly concentrated in low age group. The agent of OPV nonzero time increase with the growth of the migrant children age. Other vaccines（ MR,MPV,DPT） zero dose rates of the low age group are higher than the larger age groups of children.The study suggested the migrant children are the focus of the crowd in immunization program. Getting the vaccination information of children timely is very important to improve the coverage of migrant children. All kinds of health education should be carried out to reduce the disease incidence.