Objective To analyze inoculation timeliness of leprosy vaccine in children in Jiangyin City and evaluate the effect of weekly outpatient screening and telephone notification on the timely inoculation rate of leprosy vaccine.Methods Weekly outpatient screening and notification of leprosy inoculation in Jiangyin City were applied from January 1 st,2015.Children at starting months of age within 2 years before intervention were the control group and children at starting months of age within 2 years after intervention were observation group.The effect of interventions was assessed.Results The timely inoculation rate of the leprosy vaccine in the observation group and the control group were 92.63％ and 90.82％,respectively.The difference between inoculation rates in the observation group and the control group was significant (x2 =76.916,P ＜ 0.01).Meanwhile,there was a significant difference between the curves of cumulative inoculation rate in the two groups (x2 =271.407,P ＜ 0.01).The curve of cumulative inoculation rate in observation group was significantly shifted to the left.The average age of leprosy vaccination in the observation group (8.378 ±0.836) was lower than that in the control group (8.453 ± 1.094),and the difference between the two groups was significant (t =10.258,P ＜0.01).The vaccination month ages when the leprosy vaccine inoculation rate was 90％ and 95％ were lower in the observation group than in the control group,and the differences were statistically significant.Conclusion Weekly outpatient screening and notification can significantly improve the timely inoculation rate of leprosy vaccine in school-age children.The inoculation data analysis tool used in screening can improve the screening efficiency of children of school age and improve the relevance of notification and thus is very helpful for improving the timely inoculation rate.

目的 探讨简便、快捷、准确的预防接种证查验和补种完成情况跟踪方法,评估其有效性和可接受性.方法 依据预防接种证查验工作流程和要求,制成基于Excel的预防接种查验工具,利用江苏省预防接种个案信息系统下载的当地接种数据,开展接种证查验.将全市28个接种证查验点分成使用和未使用工具组,对接种证查验工作人员进行问卷调查,评估预防接种证查验工作开展情况和查验工具使用情况.结果 完成50名学生查验及跟踪分析50名需补种学生补种情况,在均不使用工具时,两组耗时差异均无统计学意义(P值均＞0.05);使用工具后,两项工作耗时分别为0.95、0.49 h,与使用工具前自身比较差异均有统计学意义(P值均＜0.01).工具易学易用性评分(8.67±1.81)分,提高接种率作用评分(8.78±1.77)分,使用工具意愿评分(8.67±2.00)分.结论 查验工具操作简便、快捷,查验结果准确,可以减少查验工作的工作量,提高查验工作的质量,对维持和提高学龄阶段儿童疫苗接种率有积极作用.

目的 探讨简便、快捷、准确的预防接种证查验和补种完成情况跟踪的方法,评估查验工具的工作效率和优缺点.方法 在Excel 2003环境下利用公式开发预防接种查验工具,使用从《江苏省预防接种个案信息系统》下载的本地区接种数据,开展接种证查验,自动生成最新的学生免疫史档案.使用调查问卷收集完成接种证查验工作耗时,并对工具进行评价.采用t检验比较两组均值,配对t检验比较使用工具前后耗时均值.结果 两组在均不使用工具时,完成50名学生查验耗时(t=1.13,P=0.271)和跟踪分析50名需补种学生补种情况耗时(t=0.48,P=0.633)差异均无统计学意义,合计平均耗时分别1.64h和1.58 h.使用工具组在使用工具后,完成50名学生查验耗时为(0.95±0.77)h,跟踪分析50名需补种学生补种情况耗时为(0.49±0.47)h,与自身未使用工具前比较差异均有统计学意义(t=6.06、4.32,均P=0.000).工具易学易用性评分(8.67±1.81)分,提高接种率作用评分(8.78±1.77)分,使用工具意愿评分(8.67±2.00)分.结论查验工具操作简便、快捷,查验结果准确,可以减少查验工作的工作量,提高查验工作的质量,明显优于手工查验,对维持和提高学龄阶段儿童疫苗接种率有积极作用.

目的：分析2013年江阴市居民心脑血管疾病发病情况，为政府制定心脑血管疾病综合防控策略提供依据。方法：2013年全市各医疗机构对诊疗过程中新确诊的冠心病和脑卒中病例进行网络直报，并对2013年死因监测系统中因急性心脑血管疾病死亡的病例，与发病库进行比对、剔重后确定为漏报的病例进行网络补报。结果：2013年江阴市居民心脑血管疾病总发病率为716.65/10万，以脑血管病为主，占心脑血管疾病发病总数的73.96%。男性发病率高于女性，随着年龄增加，心脑血管疾病发病率逐渐上升，60岁以上人口发病数占发病总数的82.52%。祝塘镇、徐霞客镇、申港镇心脑血管疾病发病率位居江阴市前三位。结论：性别、年龄、经济的快速发展是影响我市心脑血管疾病发病率的主要危险因素。今后应重点加强对中老年男性居民和经济发达镇（街道）居民的健康教育和健康干预，预防和控制心脑血管疾病的发病危险因素，降低心脑血管疾病发病率。