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福山区曾经卫生部组织考核,1985年“四苗”覆盖率即达到1990年标准,获山东省计划免疫先进单位称号。虽然几年来卡介苗接种率一直保持在97%以上,但多次接种效果调查显示,该区的儿童卡疤率均徘徊在80%左右,个别村只有30%,结核菌素试验阳转率也多次低于80%。针对上述情况,笔者进行了深入调查,发现根本原因在于基层接种人员素质较差,缺乏有关知识,主要表现在以下三个方面。(1)注射剂量不足。有的乡医害怕引起接种反应,急于出针致使剂量不足;有的没排净针头内的水份;也有的是注射后用力按压挤出部分疫苗。(2)放置时间过长。有的乡医挨户
Fushan District, the Ministry of Health organization assessment, in 1985, “four seedlings” coverage rate reached 1990 standards, won the title of advanced unit of Shandong Province planned immunization. Although the BCG vaccination rate has been maintained at above 97% in recent years, the survey results of repeated vaccination shows that the rate of children’s scarring in children in this area are hovering around 80%, only 30% in individual villages and the rate of tuberculin test positive rate Less than 80%. In view of the above situation, the author conducted an in-depth investigation and found that the fundamental reason is that grass-roots vaccination personnel of poor quality, lack of knowledge, mainly in the following three aspects. (1) Inadequate injection dose. Some rural doctors afraid of causing vaccination reaction, eager to produce a dose of needle inadequate; some did not clean the needle within the water; some are forced injection after injection part of the vaccine. (2) place too long. Some township physicians