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为了评价鲁、豫、皖三省麻疹监测合作项目的实施效果 ,综合三省项目进展报告、世界卫生组织现场评估报告、法定传染病报告系统、急性弛缓性麻痹病例监测系统和项目省开展的专项研究进行了分析。结果显示 :项目省麻疹疫苗强化免疫的效果不同 ;除有免疫史记录的病例比例 <80 %外 ,其它麻疹监测系统的关键指标都有明显提高 ;常规免疫接种率的报告质量提高不明显 ,漏报和报告表格过于复杂是重要的影响因素 ;实施风疹控制后 ,风疹的平均感染年龄从 1999年的 9 8岁 ,提高至 2 0 0 3年的 13 9岁。
In order to evaluate the implementation effect of the cooperation project of measles monitoring in three provinces of Shandong Province, Henan Province and Anhui Province, the progress report of the three provinces project, the site assessment report of WHO, the report system of notifiable infectious diseases, the case monitoring system of acute flaccid paralysis and the special research conducted by the project provinces Analysis. The results showed that the effect of measles vaccine in the province was different. The percentage of the measles surveillance system was significantly higher than that of the other measles surveillance systems except for those with history of immunization (<80%). There was no obvious improvement in the reporting rate of routine immunization coverage The complexity of the reporting and reporting forms is an important factor. After the rubella control was implemented, the average age of infection of rubella increased from 98 years in 1999 to 13 9 in 2003.