| 1. Objectives:This article makes an analysis of the preventive vaccination work of the Lu Yuan District of Chang Chun city since the implementation of the national immunization project expansion program (2005-2010) and tries to put forward some countermeasure for dealing with the existing situation so as to provide scientific evidence for the making of some related governmental policies.2 Methods:The data in the article derive from the data base of the information supervision system of 2005-2010 China National Immunization Program and the monitoring system of special diseases, provided by the Immunization Division of the Center for Disease Control and Prevention of Lu Yuan District. The statistical analysis of data is carried out through the Excel program.3 Results:The results showed that before expanding immunization, some vaccines such as Hepetitis A, leprosy, and hemp cheek are the second type of vaccine and voluntary vaccination between the year of 2005 and 2007; we can not control the vaccination rate so that the vaccination is much lower than the standard level, and some local area can not form immune barriers which leads to the diseases such as measles and mumps in high incidence rate. After expanding immunization and along with the increasing of new vaccination year by year, a new vaccine protection of the disease is effectively controlled. Hepetitis A, epidemic meningitis, epidemic encephalitis B have not occurred for three consecutive years, cases of measles from 121 cases in 2005 declined to 2 cases in 2010. Basically under control, mumps cases from 105 cases in 2008 declined to 32 cases, epidemic situation is controlled to local sporadic cases from local area outbreaks of the initial expanding immunization. By the end of 2010, the immune planning service network is almost formed.With the deepening of expanding immunization, the related problems of expanding immunization program are exposed, such as big differences in rural and urban area, the breakage during vaccine, abnormal reactions and the management of migrant children, especially the issues of the staff gradually reducing make the expanding immunization in difficulty. Due to the administrative division and institutions reform, many medical staff are not official staff or terminate contract with the hospitals, resulting in anti-epidemic personnel reducing from 130 persons in 2005 to 69 persons in 2010. However, the workload increased nearly 1/3 compared with the preceding expanding immunization. The staff gradually reducing and the workload increasing form a contradiction which can not be adjusted in short term and have caused some resistance for going further expanding the scope of vaccination.4 ConclusionAfter the expanding immune program is carried out, the new vaccination immunization rates have significantly increased, but the overall development is not balanced. Whether immunization rates or immunization programming routine managements are plain differences. Immunization procedures of the immigrant children are not clear, which make resowing much more difficult, and make the vaccination target clear more complicated, so those seriously influence the vaccination of immunization program. With lacking of and low quality of immunization program staff, and no balance between the increasing of covered area population and the amount of immunization program staff, it leads to more pressure and lack of enthusiasm of doctors in vaccination, which effect the implements of all measures of immunization program. |
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