Thursday, August 2, 2012

Dispel measles and dash for three years how to launch

Dispel measles and dash for three years how to launch
Dispel measles and dash for three years how to launch
Staff reporter Zheng dexterous On July 29, Ministry of Public Health starts and dispels the measles action in Guiyang of Kweichow Province with higher speed. Take action in order to efforts through 3 years, strive to dispel measles in 2012. Ministry of Public Health and national development and reform committee, what the Ministry of Education, Ministry of Finance, national food medicines supervision bureau jointly made " dispels the action scheme of measles in the whole country in 2010-2012 years " to issue at the same time. 3 annual points of goals, working index that " action scheme " has put forward the whole country and dispelled measles and taken action, and package up to standard guarantees the measure. It made background based on that how is it, why did the working index lock immunity inoculation, epidemic situation to monitor two big classes, do the series guarantee what the meaning of the measure is? A few days ago, participated in this scheme to prove the expert that makes, China CDC (Center for Disease Prevention and Control) in invitation of this newspaper Plan Luo HuiMing, Deputy Director of centre, to understand this scheme in immunity. The bright introduction that the current situation distance of the onset will dispel still far Luo of the goal, World Health Organization classifies measles as following variola, poliomyelitis, another infectious disease that will eliminate. It is to eliminate the first step of measles to dispel measles, the goal is to block measles and virus to travel in certain area, it is in 1/100 that the measles morbidity is controlled Wan is following. World Health Organization (WHO) Have confirmed the area to dispel measles date in all areas besides Southeast Asia. Among them, it is 2012 years that West Pacific Ocean district that our country locates dispels the time of measles. Our country began to implement the country and dispel the action plan of measles, and already made obvious progress in 2006, but regional progress differs at present, the epidemic situation situation is still severe. Measles the intersection of case report and the intersection of database and materials reveal after the 1987, national the intersection of measles and morbidity maintain 100/100 about Wan at, the annual report has illness coming on and counts on 100,000 left and right sides. National measles report the morbidity drops Wan to 39/100 in 2009. Though the morbidity has already reached the lowest level of history, has reported there are more than 50,000 examples in the case. And should realize that dispels the measles goal, national measles has illness coming on the case should be reduced to 1300. The intersection of examination and than examine scientific evidence " action scheme " of the morbidity working index, our country dispels measles and works and passes and improves the vaccine inoculation rate of crowd's measles, strengthen measles to monitor, deal with and break out tactics measures such as the epidemic situation,etc. to realize in time. " action scheme " has confirmed that dispels 3 concrete working indexes of measles, it is strict and up to standard to require, and examine and assess every year. First, with the county (district) It is the unit, the children of the right age include pharmaceutical inoculating rate once of regular immunity 2 of measles composition vaccine to reach and keep above 95%, Measles Vaccine strengthen immunity rate more than 95%, children include the intersection of measles and the intersection of composition and vaccine inoculation rate, more than 95%. Second, nurseries and kindergartens organization, checking rate of school immunization campaign certificates of children are up to 100%, children include the reseeding rate of measles composition vaccine and is more than 95%. Third, with the province (district, city) Unit, measles monitor in the case getting rid of the intersection of case report and morbidity, up to 20/100 the above Wan, the investigating rate of individual case of suspected case of measles is up to 100%, the serum sample gathering rate is more than 90%, serology of epidemic situation breaks out to make a definite diagnosis of rate and investigation handling rate and is up to 100%. Luo HuiMing says, the above-mentioned 3 working indexes have contained and dispelled two most basic guarantee conditions of measles - -The immunity is covered high, monitor high quality. Practical to finish these unalterable quotas, report the reducing of the morbidity will be believable. Strengthen the immunity in recent years in unison in the whole country this autumn, have illness coming on in measles of our country the crowd takes little age children as the core, but in more developed areas of eastern floating population, adult's measles has illness coming on and presents higher level. In order to improve and keep the vaccine inoculation rate of high-level measles and dispose according to " action scheme ", in autumn of 2010, will launch regarding children of 8 months old - 4 years old as and mainly inoculating strengthening the immunity of the target in unison in the whole country. Among them, provinces (district, city) such as Beijing, Heilongjiang, Shanghai, Henan and Guangxi,etc. Strengthened the immune target age range to expand until 14 years old, provinces such as Jilin, Hainan and Qinghai,etc. strengthened the immune age range to expand until 6 years old. In 2011 years, autumn of 2012, launch the colony inoculation activity of Measles Vaccine to the hotspot and key crowd including adult. Every September, education department and Ministry of Health concentrate on launching starting going to a nursery and check and mend the activity of planting month in immunization campaign certificates of children of entering school. Since 2011, realize 8 months old children and all use leprosy to unite vaccine, 18 months old - 24 months old children all use the rough cheek wind to unite vaccine. Luo HuiMing claims, the next overall thinking is, through strengthening the immune management conventionally, start going to a nursery and enter school and check the system of the immunization campaign certificate strictly, strengthen the immunity and dispel more easily infected group to accumulate, lower the measles morbidity by a wide margin. The national measles intensive immunity activity to launching soon this year, the state revenue has already set aside 157 million yuan to support. The laboratory will extend to the key county " action scheme " and monitor measles to classify the important working content of taking action as dispelling measles if the laboratory monitors the network, stipulated that guarantees the measure at the same time. Luo HuiMing says, the measles laboratory network of our country is made up of national-level, provincial, prefecture-level laboratory at present. Our country of the next step will also build the measles laboratory in the key county, will make measles and suspected case get the laboratory to diagnose in the shortest time, make the measles case catch in time. And then, the epidemiology investigation follows up fast, drive the epidemic situation of measles and meet an urgent need handling capacity is promoted. According to " the action scheme ", promote the intersection of measles and the intersection of epidemic situation and handling capacity of meeting an urgent need, to control the intersection of measles and reaction speed and handling capacity of epidemic situation now such as an organic whole, the second embodies in all parts to store prewarning predicting and vaccine of local epidemic situation. Luo HuiMing says, in a school, a village, it is that measles break out that two cases take place. Its crowd around should include in epidemiology and investigate, and should protect the immunization campaign to the crowd of the right age among them in time. If necessary, meeting an urgent need and inoculating the range will also expand to adult's age group. Move forward with dispelling the measles process, should investigate epidemiology to the crowd around too if a case takes place, meet an urgent need and inoculate. Task decompose responsibility, get people it dispels measles to be to expand national immune an important content of planning ring upon ring, it is an important task of the government. The related departments of the State Council have already set up and expanded the national immune coordinating mechanism of planning department, Ministry of Public Health had already established the whole country that had appointed minister Chen Zhu as the group leader to dispel the leading group of measles too a few days ago, CDC sets up the whole country to dispel the measles office in China, and establish the whole country to dispel the measles expert and guide the group. The relevant department's duty of regulation of " action scheme ", and propose clearly, all parts should make this area and dispel the action scheme of measles conscientiously, set up corresponding organization, and will work Goal and task are decomposed ring upon ring, responsibility reaches people. Luo HuiMing points out, it is a complicated system engineering to dispel the measles work, a plurality of departments of involving finance, development and reform committee's, education, medicine's supervising etc., strengthen the department and cooperate and cooperate, guarantee manpower, material resources, financial resources input, could dispel every working measure of measles to fulfill. Compared with eliminating the dust of spine, dispel measles no matter the technological measure is organized the implementation, the difficulty is greater. Need the whole society, especially cooperation and support of the child parents. Summarize the experience according to World Health Organization, is 70% that crowd's immunity inoculation protects competence while eliminating variola, it needs more than 90% to eliminate the dust of spine, and it must be more than 95% to dispel measles. So, it must be a tough battle that our country dispels measles to dash in 3 years.


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