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[目的]总结2009年普陀区0～6岁学龄前儿童实施扩大免疫规划的效果。[方法]综合分析扩大免疫实施前后的接种率调查、不良反应监测和扩大免疫相关疫苗预防传染病的疫情等资料。[结果]扩大免疫实施后共调查526名适龄儿童,相关疫苗接种率基本达到95%;不良反应报告率为81.44/10万;扩大免疫相关疫苗针使传染病发病总体均呈下降趋势。[结论]部门间密切配合、充分准备、有效保障是大规模接种工作开展的基础;需进一步加大外来儿童的管理力度;加强主动发现疫苗接种后不良事件(AEFI)的力度,提高AEFI监测的敏感性;加强扩大免疫相关疫苗预防传染病流行特征的监测。
[Objective] To summarize the effect of 2009-2009 preschool-age children in 0 ~ 6 years old in Putuo District to implement the expanded immunization program. [Methods] A comprehensive analysis was conducted to investigate the vaccination coverage before and after the implementation of the expanded immunization, monitoring of adverse reactions and expanding the epidemic situation of immunization-related vaccines against infectious diseases. [Results] A total of 526 school-age children were enrolled after the implementation of the expanded immunization. The relevant vaccination coverage rate reached 95% basically. The rate of adverse reactions was 81.44 / 100 000. The immunization-related vaccine needles expanded the incidence of infectious diseases in general. [Conclusion] The close cooperation among departments, adequate preparation and effective guarantee are the foundation of large-scale vaccination work. The management of foreign children needs to be further strengthened. The efforts of proactively discovering AEFI (vaccination-induced adverse events) Sensitivity; to strengthen the expansion of immunization-related vaccines to prevent epidemics of infectious disease monitoring.