2015—2018年佛山市三水区疑似预防接种异常反应监测分析

目的分析2015-2018年佛山市三水区疑似预防接种异常反应(AEFI)监测数据,为加强免疫规划管理提供依据。方法采用Excel和SPSS软件,对监测数据进行描述性统计分析。结果2015-2018年三水区共报告AEFI病例377例,4年总体报告率为28.30/10万剂次,多数发生在1岁以下年龄组,8~<18岁组最低。在153例1岁以下报告AEFI中,8月龄儿童占比最高,达22.88%,其次为6月龄儿童,占11.76%。AEFI病例局部反应占49.86%,局部红肿和结节各分别占34.21%和15.65%。全身反应以发热为主,占56.76%;涉及各种过敏反应占16.71%;有哭闹、皮疹和瘙痒等其他全身症状者占18.30%。属于一般反应者占75.07%,属于异常反应者占18.04%,偶合症占6.63%。有7例属于严重反应。根据AEFI产生各种症状数量对疫苗进行了排序。结论三水区AEFI监测结果在一定程度上反映疫苗的安全风险,尤其关注产生多种AEFI反应和严重反应的疫苗,有必要持续加强AEFI监测,及时发现潜在存在疫苗安全问题。

Analysis of Monitoring Results of Adverse Events Following Immunization in Sanshui District,Foshan City from 2015 to 2018

OBJECTIVE To understand the physical health status and the detection of common diseases among primary school students in a rural school in Lianyungang City in 2019, and objectively evaluate the growth and health of the village students, and carry out school health education and health promotion for the future. And provide a practical reference for the government’s Health Poverty Alleviation and Accurate Poverty Alleviation work. METHODS According to the requirements of students’ physical examination standards and their operational procedures, the physical examination of 356 primary school students was statistically summarized. The count data were analyzed by χ2 test,which was considered statistically significant(P<0.05). RESULTS The total prevalence rate of primary school pupils was 90.4%. The higher prevalence rates were lower vision(49.7%) and dental caries(46.6%), 35.4% those with moderate height development, 27.9% obesity and overweight, and 18.5% for malnutrition rate. After χ2 test, the height and weight development of boys and girls as well as between different age groups were statistically significant. CONCLUSION The health status of the rural primary school should be paid attention to. The joint action of schools, families and society should be strengthened, and health intervention programs should be formulated to effectively reduce the incidence of common diseases among primary school students and improve the health of rural primary school students. The government should increase funding for rural schools, pay attention to the improvement of hardware facilities in rural areas and the investment in student nutrition improvement programs, and give full play to the strength of the government, schools and society to jointly ensure the healthy growth of rural minors.