浙江省宁波市鄞州区2015年1-3岁儿童免疫规划疫苗接种率监测评价Coverage rates of national immunization program vaccines among 1-3 year old children in Yinzhou district,Ningbo city,Zhejiang province,2015
孙烨祥,林鸿波,马寅,徐来荣,平建明,马瑞
摘要(Abstract):
目的了解宁波市鄞州区1-3岁儿童扩大国家免疫规划(National immunization program,NIP)疫苗接种现状。方法通过宁波市免疫规划信息管理系统收集2015年鄞州区1-3岁儿童接种资料,采用描述性方法分析NIP疫苗接种率、全程接种率、首剂乙型肝炎疫苗(First-dose hepatitis B vaccine,Hep B1)和首剂含麻疹成分疫苗(Firstdose measles-containing vaccine,MCV_1)及时接种率。结果在鄞州区2015年1-3岁儿童中,卡介苗(Bacille Calmette-Guerin vaccine,BCG)、HepB_(1-3)、3剂脊髓灰质炎疫苗(3-dose poliovirus vaccine,PV_(1-3))、3剂百白破联合疫苗(3-dose diphtheria-pertussis-tetanus combined vaccine,DTP_(1-3))、MCV_1、首剂乙型脑炎疫苗(First-dose Japanese Encephalitis Vaccine,JEV_1)、2剂A群脑膜炎球菌疫苗(2-dose meningococcal vaccine-type A,MenA_(1-2))、1剂甲型肝炎疫苗(1-dose hepatitis A vaccine,HepA_1)接种率均>98%;HepB_1、MCV_1及时接种率分别为95.11%、92.49%;五苗(BCG、HepB_(1-3)、PV_(1-3)、DTP_(1-3)、MCV_1)全程接种率为99.30%;DTP_4、MCV_2、PV_4(包括含PV成分疫苗)、JEV_2、1剂A群C群脑膜炎球菌疫苗(MenAC_1)接种率分别为97.86%、98.52%、29.52%、95.65%、93.61%;八苗(BCG、HepB_(1-3)、PV_(1-3)、DTP_(1-4)、MCV_(1-2)、JEV_1、HepA_1、MenA_(1-2))全程接种率为96.22%。八苗全程、HepB_1及时、MCV_1及时接种率农村儿童均显著低于城区儿童,流动儿童均显著低于本地儿童。结论鄞州区儿童NIP疫苗接种率维持在较高水平;但农村地区儿童和流动儿童的复种或加强免疫接种率、HepB_1和MCV_1及时接种率低,需加强重点地区和人群的相应干预措施。
关键词(KeyWords): 国家免疫规划;疫苗;接种率
基金项目(Foundation): 浙江省预防医学会软课题(2016 YF05);; 宁波市鄞州区科技局第三批科技计划项目[鄞科(2015)96号]
作者(Author): 孙烨祥,林鸿波,马寅,徐来荣,平建明,马瑞
DOI: 10.19914/j.cjvi.2017.01.022
参考文献(References):
- [1]崔健,曹雷,郑景山,等.中国2014年国家免疫规划疫苗报告接种率分析[J].中国疫苗和免疫,2016,22(1):34-40.CUI Jian,CAO Lei,ZHENG Jing-shan,et al.Analysis of Reported Coverage Raters of Vaccines in National Immunization Program in China,2014[J].Chinese Journal of Vaccines and Immunization,2016,22(1):34-40.
- [2]林希建,刘浩,罗美玲,等.2014年长沙市扩大国家免疫规划疫苗接种率调查分析[J].中国疫苗和免疫,2015,21(6):662-665.LIN Xi-jian,LIU Hao,LUO Mei-ling,et al.Analysis of Immunization Coverage Survey for Vaccines in National Immunization Program in Changsha City[J].Chinese Journal of Vaccines and Immunization,2015,21(6):662-665.
- [3]陈伟,李永成,骆晓艳,等.儿童预防接种信息管理系统和现场调查适龄儿童国家免疫规划疫苗接种率统计结果的比较分析[J].中国疫苗和免疫,2015,21(1):88-91.CHEN Wei,LI Yong-cheng,LUO Xiao-yan,et al.Comparison of National Immunization Program Childhood Vaccines Coverage Determined by the Children’s Immunization Information Management System with Coverage Determined by Field Investigation[J].Chinese Journal of Vaccines and Immunization,2015,21(1):88-91.
- [4]Li Q,Hu Y,Zhong Y,et al.Using the Immunization Information System to Determine Vaccination Coverage Rates among Children Aged 1-7 Years:A Report from Zhejiang Province,China[J].International Journal of Environmental Research and Public Health.2014,11(3):2713-2728.
- [5]卢莉,马蕊,苑新海,等.利用儿童预防接种信息管理系统开展接种率监测报告的可行性研究[J].中国疫苗和免疫,2014,20(2):146-151.LU Li,MA Rui,YUAN Xin-hai,et al.Study on the Practicability of Immunization Coverage Surveillance by Using Child Immunization Information Management System[J].Chinese Journal of Vaccines and Immunization,2014,20(2):146-151.
- [6]董维波,李寿俊,孙静,等.浙江省奉化市2013年1-7周岁儿童常规免疫接种率的监测与评价[J].国际流行病学传染病学杂志,2015,42(1):19-23.DONG Wei-bo,LI Shou-jun,SUN Jing,et al.Monitoring and evaluation of the routine immunization coverage in children aged 1-7years in 2013 in Fenghua Zhejiang[J].International Journal of Epidemiology and Infectious Disease,2015,42(1):19-23.
- [7]卫生部.预防接种工作规范[S].北京:卫生部,2005.Ministry of Health.Standard Operational Procedures for Immunization[S].Beijing:Ministry of Health,2005.
- [8]王珑德.预防接种实践与管理[M].北京:人民卫生出版社,2006.WANG Long-de.Practice and Management on Vaccination[M].Beijing:People’s Medical Publishing House,2006.
- [9]孙烨祥,徐来荣,平建明,等.宁波市鄞州区2008-2014年出生儿童脊髓灰质炎灭活疫苗基础免疫全程替代接种情况分析[J].中国疫苗和免疫,2016,22(4):414-419.SUN Ye-xiang,XU Lai-rong,PING Jian-ming,et al.Analysis of Substitution by Inactivated Poliovirus Vaccine in a Full Primary Immunization among Children Born from 2008 to 2014 in Yinzhou District,Ningbo City[J].Chinese Journal of Vaccines and Immunization,2016,22(4):414-419.
- [10]宁波市鄞州区公共卫生工作委员会.鄞州区流动儿童免疫预防“六位一体”管理项目实施方案[S].2012-12-18.Public Health Committee of Yinzhou District.Implementation Plan of Immunization Prevention“Six in One”Management Project for Migrant Children of Yinzhou District[S].2012-12-18.
- [11]王连华,邱春华,陈怡平,等.2014年浙江省台州市适龄儿童扩大国家免疫规划疫苗接种率横断面调查[J].疾病监测,2015,30(3):184-189.WANG Lian-hua,QIU Chun-hua,CHEN Yi-ping,et al.Crosssectional Survey of Vaccination Rate of National Immunization Program among Children in Taizhou,Zhejiang,2014[J].Disease Surveillance,2015,30(3):184-189.
- [12]潘春柳,温建,李静,等.贵阳市云岩区疫苗接种“妈妈课堂”实施效果分析[J].中国公共卫生,2015,31(9):1129-1132.PAN Chun-liu,WEN Jian,LI Jing,et al.Effect of‘Mom Classroom’-an Education Program on Vaccination among Parents of Infants in Yunyan District of Guiyang City[J].Chinese Journal of Public Health,2015,31(9):1129-1132.
- [13]沈智勇,吴德仁,吕良勇,等.北海市免疫规划工作综合质量影响因素分析[J].中国公共卫生管理,2009,25(1):9-11.SHEN Zhi-yong,WU De-ren,LV Liang-yong,et al.Analysis on the Factors Relevant to EPI Integrated Quality in Beihai Area[J].Chinese Journal of Public Health Management,2009,25(1):9-11.
- [14]US CDC.National State and Local Area Vaccination Coverage among Children Aged 19-35 Months—United States,2012[J].MMWR.2013,62(36):733-740.
- [15]Hu Y,Chen Y,Guo J,et al.Completeness and timeliness of vaccination and determinants for low and late uptake among young children in eastern China[J].Human Vaccines and Immunotherapeutics,2014,10(5):1408-1415.
- [16]刘艳,许二萍,王骏,等.浙江省杭州市2010-2014年出生儿童脊髓灰质炎疫苗接种分析[J].中国疫苗和免疫,2016,22(4):410-413.LIU Yan,XU Er-ping,WANG Jun,et al.Coverage of Poliovirus Vaccine among Children Born between 2010 and 2014 in Hangzhou City,Zhejiang Province[J].Chinese Journal of Vaccines and Immunization,2016,22(4):410-413.
- [17]张伟燕,刘少楠,曾振,等.山东省基于预防接种信息系统的1-7岁儿童疫苗接种率评价[J].现代预防医学,2015,42(20):3693-3697.ZHANG Wei-yan,LIU Shao-nan,ZENG Zhen,et al.Evaluation on Immunization Coverage Rate of Children from One to Seven Years Old Based on Immunization Information System in Shandong Province[J].Modern Preventive Medicine,2015,42(20):3693-3697.