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目的了解云南省大理州托幼机构、小学新生预防接种证查验补种状况,探讨有效管理方法。方法收集儿童入托和入学查验预防接种证和补证、补种疫苗的报表资料,并进行分类比较和统计分析。结果 2010年大理州12个县(市)中有11个县(市)开展了儿童入托和入学查验预防接种证工作。共查验小学1071所、托幼机构462所,分别占应查小学、托幼机构的92.9%(1071/1153)和86.7%(462/533)。查验儿童71 677人,占应查验人数的91.3%(71 677/78 522)。需补办儿童预防接种证3755人,占查验儿童的5.24%(3755/71 677),补办儿童预防接种证3684人,占需补证人数的98.1%(3684/3755)。脊灰糖丸、百白破、乙肝、甲肝、麻腮风(或麻疹)三联、乙脑、流脑、白破二联疫苗的补种率分别为96.7%、98.8%、98.7%、84.4%、94.2%、64.4%、73.9%和75.0%。结论大理州2010年儿童入托和入学查验预防接种证工作取得明显成效,但查验工作的质量尚有待提高,教育、卫生部门的协调和配合还需进一步加强。
Objective To understand the status of vaccination certificate of vaccination certificate of nursery schools and primary freshmen in Dali Prefecture, Yunnan Province, and to explore effective management methods. Methods The data of vaccination certificate, supplementary certificate and vaccination report of children admission and admission examination were collected and classified and statistically analyzed. Results In 2010, 11 counties (cities) of 12 counties (cities) in Dali Prefecture carried out child immunization and entrance examination vaccination certificates. A total of 1071 primary schools and 462 nurseries were investigated, accounting for 92.9% (1071/1153) and 86.7% (462/533) of primary schools and nurseries respectively. 71,677 children were checked, accounting for 91.3% (71 677/78 522) of the persons to be inspected. 3755 children (5.2%) (3755/71 677) were required to re-register their children’s vaccination certificates, 3684 children’s vaccination certificates were re-issued, accounting for 98.1% (3684/3755) of the required certificates. Replanting rate of 96.8%, 98.8%, 98.7%, 84.4% of polio vaccine, diphtheria toxoid, hepatitis B, hepatitis A and measles triplex, , 94.2%, 64.4%, 73.9% and 75.0%. Conclusion Dali Prefecture achieved remarkable results in the 2010 vaccination certificate for nursery admission and entrance examination. However, the quality of the inspection work still needs to be improved. The coordination and cooperation between the education and health departments need to be further strengthened.