【摘要】 贵州省 1999年常规免疫接种率监测及评价结果显示 :基础免疫卡介苗 (BCG)、口服脊髓灰质炎疫苗 (OPV)、百白破混合制剂 (DPT)、麻疹疫苗 (MV)、乙型病毒性肝炎 (乙肝 )疫苗的报告接种率分别为 94 9%、 98 4%、 96 3%、 98 1%和89 5 % ,估算接种率分别为 :70 2 %、 76 9%、 72 9%、 83 7%和 6 6 % ;加强免疫 (或复种 )中 7岁的OPV、MV、白喉破伤风二联类毒素 (DT)的报告接种率分别为 95 5 %、 94 5 %和 89 2 % ,估算接种率分别为 39 4%、 45 0 %和 31 3 % ;2岁的DPT加强免疫报告接种率为 95 0 % ,估算接种率为 73 9%。全省差值 (D)评价 ,报告接种率MV为“可疑” ,BCG、OPV、DPT、乙肝疫苗为“不可信” ;比值 (R)评价 3BCG/OPV与 3BCG/DPT为“可信” ,3MV/OPV与 3MV/DPT为“可疑”。用常规免疫、强化免疫和全省抽样调查出生率三方面的资料进行分析 ,提示 :流动儿童和超生、超龄儿童的摸底调查是计划免疫工作的难点 ,是导致我省常规免疫接种率偏低的主要原因更多还原

【Abstract】 This paper evaluated the results of routine immunization surveillance in Guizhou Province in 1999. The reported vaccination rates of BCG, OPV, DPT, MV and HBV were 94.9%, 98.4%, 96.3%, 98.1% and 89.5% respectively, but their estimated vaccination rates were respectively 70.2%, 76.9%, 72.9%, 83.7% and 6.6%. In supplementary immunization group of children of seven years old, the reported vaccination rates for OPV, MV and DT were 95.5%, 94.5% and 89.2% respectively, but their estimated vaccination rates were 39.4%, 45.0% and 31.3%. For children of 2 years old, the reported vaccination rate of DPT was 95.0%, but its estimated rate was 73.9%. The value difference evaluation showed the reported vaccination rate of MV was doubtful, the rates of BCG, OPV, DPT and HBV were not reliable. The ratio evaluation showed 3 BCG/OPV and 3 BCG/DPT were reliable, but 3 MV/OPV and 3 MV/DPT were doubtful. We adopted and analysed the data from routine immunization reports, National Immunization Days and birth rate from Guizhou Province sampling investigation, the results revealed that the mobile population and children out of birth control were population group difficult to handle for EPI. This is the main reason for low vaccination rates in Guizhou.更多还原