First, deepen the implementation of the expanded national immunization program and do a good job in standardized vaccination of new vaccines.
(1) Earnestly implement the Central Committee's 2008 Implementation Plan for Expanding the National Immunization Program in Hubei Province (2009).
1. Provide routine vaccination services for school-age children according to the immunization procedures stipulated in the Implementation Plan of National Immunization Program (No.305 [2007] of Wei CDC) and the Implementation Plan of National Immunization Program of Hubei Province in 2008 (No.305 [2008] of E Wei Ban Fa1).
(1) Hepatitis B vaccine, BCG vaccine, polio vaccine, DTP vaccine, DTP vaccine, epidemic cerebrospinal meningitis (group A and group A+C) and live attenuated Japanese encephalitis vaccine continue to be implemented in the whole province;
(2) 1 1 Urban school-age children are vaccinated with live attenuated hepatitis A vaccine. That is to say, we will continue to vaccinate school-age children with live attenuated hepatitis A vaccine in Ezhou, Enshi, Shiyan, Shennongjia forest area, Huanggang, Xianning and Xiaogan, and intensify the vaccination of school-age children with live attenuated hepatitis A vaccine in Huangshi, Tianmen, Qianjiang and Xiantao.
Specific requirements for free vaccination of live attenuated hepatitis A vaccine: In Huangshi City, Tianmen City, Xiantao City and Qianjiang City, school-age children who have reached the age of vaccination of live attenuated hepatitis A vaccine (children aged from April 1 day 18 months) will be provided with live attenuated hepatitis A vaccine vaccination service free of charge by local vaccination service units; Huangshi City, Tianmen City, Xiantao City and Qianjiang City provided supplementary live attenuated hepatitis A vaccine services for school-age children who were vaccinated with live attenuated hepatitis A vaccine from June 5438+0 to April 1 day in 2009.
(3) Vaccinate school-age children in the province with cell-free DTP vaccine. Firstly, the third and fourth doses of DTP vaccine were replaced by cell-free DTP vaccine, and the whole cell DTP vaccine was used for the insufficient part.
Specific requirements for acellular DTP vaccine to replace the third dose of DTP vaccine: For school-age children (children who have reached the third dose of whole-cell DTP vaccine), the vaccination service unit will provide free cell-free DTP vaccination service.
(4) The measles vaccine still adopts the transitional immunization scheme, that is, the measles vaccine is given at the age of 8 months, the measles vaccine is given at the age of 18 ~ 24 months, and the measles vaccine is given to the insufficient part.
2. Measles Vaccine Intensive Immunization: Measles Vaccine Intensive Immunization covers children aged 8 months to 14 years in the whole province, and each child is vaccinated with 1 dose. (The specific plan will be sent separately)
3. Emergency vaccination of leptospirosis vaccine: In areas where leptospirosis epidemic occurred in 2008, when the flood disaster may lead to leptospirosis outbreak, emergency vaccination of leptospirosis vaccine was carried out for key populations. (The specific plan will be sent separately)
(two) to complete the goal of expanding the national immunization program in Hubei Province in 2009.
In the township as a unit, the coverage rate of BCG, polio vaccine, hepatitis B vaccine and DTP vaccine for school-age children is over 90%, and the coverage rate of other immunization items of conventional vaccines is over 85% (according to the requirements of the speech made by Deputy Director Zhang Yu at the provincial conference on disease control and health emergency work in 2009).
(3) Strengthen and expand the technical support of national immunization program.
1. Strengthen the training of national immunization planning knowledge to ensure the standardized implementation of national immunization planning procedures. It is necessary to continue to strengthen the knowledge and skills training of vaccination personnel, especially to improve their understanding of national immunization planning procedures and improve their service level and service ability.
2, strengthen the distribution and use of vaccines, cold chain construction, vaccination abnormal reaction management.
Two, complete the construction of children's vaccination management information system.
1, complete the goal of informatization construction of children's vaccination in the province in 2009, that is, before June 2009, all vaccination service institutions above township hospitals in the province will realize informatization management of children's vaccination.
2, in order to ensure the realization of the goal, we must complete the evaluation and acceptance of the construction of children's vaccination information system in all cities in the province. Audit contents include software, hardware, maintenance, data quality and data integrity. First of all, after all vaccination units at the county level have passed the self-evaluation, the municipal level will organize relevant experts to evaluate them and then report them to the provincial health department. Finally, the provincial health department will organize experts to conduct spot checks and evaluations.
3, start the provincial and municipal children's vaccination information system platform construction. In 2009, the provincial platform should complete the design scheme, bidding and procurement, infrastructure construction and other work, laying the foundation for the comprehensive construction and operation of the provincial platform; The provincial finance has arranged subsidy funds for the platform construction of cities, and cities should actively carry out the platform construction of this city in order to facilitate the analysis, management and utilization of vaccination cases.
Three, the effective implementation of measles vaccine immunization, and vigorously promote the elimination of measles.
This year is a crucial year for our province to implement the measles elimination action plan. Only on the basis of ensuring the effective completion of this year's measles control plan can the follow-up action plan achieve results.
1, routine immunization work can not be slack. In strict accordance with the requirements of the expanded national immunization program and the implementation plan of our province, we will do a good job in routine immunization with two doses of measles vaccine to ensure that the whole immunization rate of children under 0/0 .5 years old in towns and villages reaches over 95%. Ensure that the incidence of measles is controlled at a low level in the first half of the year, so as to focus on measles vaccination in the second half of the year.
2. According to the overall arrangement of the country, our province will fully implement measles vaccine intensive immunization this year. According to the epidemic situation in our province, the target population in our province is determined to be children from 8 months to 14 years old. According to the composition ratio of 16.8% at the end of 2007 and the population of 60.7 million (data comes from Hubei Statistical Yearbook), the target population of our province will exceed100000, which is a heavy workload.
(1) Be a good government consultant and actively strive for policy, capital and organizational guarantee;
(2) Make local plans and strictly carry out technical training to ensure the orderly work;
(3) Strengthen publicity and actively strive for the support and cooperation from all walks of life;
(4) Conduct a thorough investigation to ensure that this Huimin action truly covers every school-age child;
(5) Strictly supervise the prophase, metaphase and anaphase work to achieve the action goal of vaccination rate above 95%.
3. Implementing a new measles surveillance program: In order to support the elimination of measles, the state revised the measles surveillance program and put forward new requirements for measles surveillance indicators and methods. All levels in the province should strengthen training and standardize implementation.
Starting from April 1 day, the measles single disease/special disease monitoring system was started to report the epidemiological case investigation and laboratory detection information of suspected cases.
Fourth, continue to be polio-free.
In order to consolidate the achievements of polio-free work, it is necessary to continue to strengthen immunization, monitoring and management to prevent the import of wild polio strains and the spread of polio virus.
(1) immunization
1, continue to do a good job in routine immunization of polio vaccine for school-age children, and maintain a high level of full-course vaccination rate and timely vaccination rate.
2, according to the overall arrangement of the province, in some areas to carry out polio vaccine immunization activities for children aged 0-3, other areas will carry out leak detection and replanting work, to further consolidate the immune barrier and eliminate the "immune gap".
(2) AFP monitoring
1. Maintain the sensitivity and timeliness of AFP monitoring system. The municipal public health administrative department shall, in accordance with the requirements of the provincial health department, organize special supervision and inspection of AFP case monitoring for more than 4 times every year, and regularly report the inspection results and monitoring situation. Centers for Disease Control and Prevention at all levels should pay attention to arranging special classes, conscientiously implement the work system, adhere to the standardization of work, and complete an active monitoring task every ten days; At the same time, it is also necessary to increase the scope and quality of training in medical institutions so that staff can effectively master various technical requirements. Taking the city as a unit, all monitoring indicators should meet the requirements of the Ministry of Health and the World Health Organization (WHO).
2. Improve the collection rate of qualified fecal specimens, and at the same time ensure the transport conditions of the specimens and deliver them to the polio laboratory in time.
(3) Collecting and collating data on polio eradication.
Complete the annual report of polio eradication confirmation on time.
Five, do a good job in the basic management of immunization.
The basic management of immunization prevention is the basic platform of immunization planning. Only by laying a solid foundation can we ensure the orderly and effective implementation of immunization programs and ensure the fairness and equalization of national immunization programs.
(1) Injecting vaccines and syringes
1, report the plan on time step by step: including the annual use plan and the vaccine semi-annual adjustment plan;
2. Timely and standardized distribution of vaccines: the distribution of vaccines should be standardized according to the principle of gradual distribution;
3. Standardize the use and management of vaccines: vaccines should not only be distributed, but also cannot be managed. Standardized forms should be used to dynamically monitor and manage the storage, use and inventory of vaccines to ensure that the vaccine distribution plan can be followed. At the same time, it is necessary to implement the management of vaccines and syringes by special personnel and special accounts, and standardize the computerized management of vaccines and syringes.
cold chain management
Carefully monitor and record the temperature during the storage and transportation of vaccines, strengthen warehouse management, and improve the procedures for receiving and distributing vaccines.
(3) vaccination management
1. Continue to monitor, report and evaluate the routine vaccination rate, and improve the timeliness, accuracy and authenticity of the routine vaccination rate report.
2, to carry out the vaccination rate survey, find problems in time, and promote the work.
3. Strengthen the management of floating population. We should conscientiously implement the Measures for the Administration of Planned Immunization of School-age Children of Urban Floating Population in Hubei Province (for Trial Implementation), carry out active search in time, and provide convenient and thoughtful services for the floating population. On the basis of learning from the experience of immunization prevention and management of floating population in advanced areas, we will actively explore and formulate immunization prevention and management measures suitable for local conditions.
(4) Construction of vaccination clinics
1. Strengthen regional planning. After the implementation of the national immunization program, the types and times of vaccination have increased, and the existing vaccination service model in some areas can no longer meet the requirements. According to the principle of "regional planning, rational distribution, fixed-point inoculation and standardized management", the vaccination institutions are re-planned, ensuring the timeliness and convenience of services and reasonably adjusting the service operation time.
2. Standardize outpatient service construction. According to the local social and economic development level, further standardize the outpatient service construction, ensure the safe, orderly and standardized development of vaccination, and meet the growing public demand for vaccination service level, service quality and service environment.
(5) Monitoring the antibody level of the population and the immune effect of the vaccine.
Disease control institutions at all levels should actively monitor the antibody level of the population and the immune effect of the vaccine, evaluate the antibody level of the population in the area under the jurisdiction of the disease prevention and control institutions, evaluate the vaccination effect in time, and provide a basis for improving the immune strategy.
Six, seriously carry out the monitoring and handling of abnormal reactions to vaccination.
With the increasing vaccination rate of the national immunization program, the number of suspected adverse reactions (AEFI) will also increase accordingly, which should be highly valued.
1, all localities should strengthen monitoring, report the suspected abnormal reaction to vaccination immediately, and comprehensively carry out AEFI network direct reporting.
2. Provincial, municipal and county-level disease prevention and control institutions shall promptly set up an expert group to investigate and diagnose the abnormal reaction of vaccination, and carry out investigation, diagnosis and treatment in accordance with the Measures for Identification of Abnormal Reaction of Vaccination and the Administrative Measures for Investigation and Diagnosis of Abnormal Reaction of Vaccination in Hubei Province (Trial).
Seven, increase the publicity of immunization program.
1. It is necessary to strengthen the training of expanding national immunization planning policies and immunization prevention knowledge, gain wider understanding, support and cooperation from the masses, and let more children enjoy the care of national policies;
2. We should make full use of the "4.25 Vaccination Publicity Day" to create an atmosphere in which the society pays attention to activities such as eliminating measles and controlling hepatitis B..
Eight, strengthen the monitoring and control of vaccines for other diseases.
(1) Hepatitis B
1, continue to do a good job in neonatal hepatitis B vaccine immunization, and improve the whole vaccination rate of neonatal hepatitis B vaccine and the timely vaccination rate of the first dose;
2, complete the province in 2002 1 month after the birth of children who have not been vaccinated with hepatitis B vaccine;
3. Complete the half-year and annual work progress report of local and local GAVI project/hepatitis B immunization program on time.
4, in 2008, we should continue to do a good job in the management of obstetric inoculation points, and strengthen the timely vaccination of hepatitis B vaccine for non-hospital delivery children.
5. Strengthen the monitoring of new cases of hepatitis B under the age of 15, improve the case investigation, and improve the complete rate of case investigation.
(II) Viral hepatitis A
1, do a good job in hepatitis A vaccination and incorporate it into the national expanded immunization program;
2. Pay close attention to the epidemic situation of hepatitis A, find clustered cases in time (refers to 1 towns or streets where more than 2 cases are reported in the longest incubation period), and control the occurrence and spread of the epidemic in time and effectively.
(3) Strengthen the prevention and control of Japanese encephalitis and epidemic cerebrospinal meningitis.
1, improve the vaccination rate of epidemic cerebrospinal meningitis and Japanese encephalitis.
2. Strengthen the case monitoring of epidemic cerebrospinal meningitis and Japanese encephalitis. Early diagnosis, early reporting and early collection of specimens can improve the isolation rate of pathogens. Timely discovery of clustered cases, timely and effective treatment of clustered cases to prevent the spread of the epidemic.
3, strengthen the network direct reporting of epidemic cerebrospinal meningitis and Japanese encephalitis case investigation information, to ensure the integrity and timeliness of the reported data.
(4) neonatal tetanus, diphtheria and whooping cough
1, strengthen the case investigation and active monitoring of suspected cases of neonatal tetanus, diphtheria and whooping cough to prevent missed diagnosis.
2, according to the national immunization plan, do a good job in the routine immunization of school-age children with DTP vaccine, improve the whole vaccination rate and timely vaccination rate.
(5) rubella, mumps and chickenpox
1, according to the national expanded immunization program, do a good job in rubella and mumps vaccination.
2, strengthen the monitoring of rubella, mumps and chickenpox epidemic situation, early detection of the epidemic situation, especially pay attention to the epidemic trend of kindergartens, schools and other key places, timely grasp the epidemic situation, do a good job in epidemic disposal.
(6) Rabies and chickenpox
1, strengthen rabies monitoring and report the investigation of rabies cases in time; Report the outpatient treatment report after rabies exposure on time.
2. Standardize the post-exposure treatment of rabies (correctly handle wounds, correctly use anti-immune/antiserum, rescue allergic reactions, etc.). ).
Nine, strict inspection and replacement of children's vaccination certificate
1, it is necessary to strengthen communication and cooperation with the education department, actively do a good job in training and technical guidance, and assist the education department and schools to carry out the inspection of vaccination certificates for new school children in time;
2. Do a good job in vaccine replanting.
3, after the inspection and replanting work, to fill in and statistics registration form in a timely and standardized manner, and audit report step by step.
Ten, to carry out performance appraisal, to meet the national evaluation standards.
In February this year, the Provincial Health Department officially applied to the Ministry of Health to join the first batch of performance appraisal units of the Ministry of Health. The Provincial Health Department will conduct a round of evaluation on cities and states on 20/2009-20 10/0, and complete the evaluation on 7-8 cities in 2009.
In the performance evaluation standard of disease prevention and control of the Ministry of Health, the evaluation bidding for immunization planning of disease control institutions is as follows: intact rate of cold chain operation management (index requirement: 100%), inoculation rate (index requirement: meeting national requirements), coverage rate of standardized inoculation units (index requirement: ≥90%), and standardized disposal rate of suspected abnormal reactions in vaccination (index requirement: ≥90%).
All localities need to pay more attention to it, put forward the implementation plan of their own units in this region according to the national standards, and ensure that all indicators meet the national assessment standards.