BEIJING, Feb. 19 (Xinhua) According to the website of the Ministry of Health, in order to implement the goals and tasks of expanding the national immunization program, the Ministry of Health organized and compiled the Implementation Plan for Expanding the National Immunization Program (hereinafter referred to as the "Plan").
Expand the implementation plan of national immunization program
In order to implement the spirit of "expanding the scope of national immunization program, including 15 infectious diseases that can be effectively prevented by vaccination, such as hepatitis A and meningitis" put forward by Premier Wen Jiabao at the Fifth Session of the Tenth National People’s Congress, implement the objectives and tasks of expanding national immunization program, standardize and guide the scientific implementation of expanding national immunization program in various places, and effectively prevent and control related infectious diseases, this program is formulated.
I. Principles
The expansion of the national immunization program is implemented in accordance with the principle of "emphasizing key points, guiding by classification, paying attention to actual results and implementing step by step".
Second, the content
(1) On the basis of the six kinds of national immunization plan vaccines currently used nationwide, such as hepatitis B vaccine, BCG vaccine, polio vaccine, DTP vaccine, measles vaccine and DTP vaccine, the cell-free DTP vaccine is used to replace DTP vaccine, and hepatitis A vaccine, epidemic cerebrospinal meningitis vaccine, Japanese encephalitis vaccine and measles vaccine are included in the national immunization plan, and regular vaccination is carried out for school-age children.
(2) Vaccinate key populations with hemorrhagic fever in key areas; When anthrax and leptospirosis occur or floods may lead to the outbreak of leptospirosis, emergency vaccination of anthrax vaccine and leptospirosis vaccine shall be carried out for key populations.
Fifteen infectious diseases, such as hepatitis B, tuberculosis, poliomyelitis, whooping cough, diphtheria, tetanus, measles, hepatitis A, epidemic cerebrospinal meningitis, Japanese encephalitis, rubella, mumps, epidemic hemorrhagic fever, anthrax and leptospirosis, can be prevented by vaccination.
III. Objectives
(a) the overall goal.
Fully implement the expanded national immunization program, continue to be polio-free, eliminate measles, control hepatitis B, and further reduce the incidence of vaccine-preventable infectious diseases.
(2) Work indicators.
1. By 2010, the vaccination rate of school-age children with hepatitis B vaccine, BCG vaccine, polio vaccine, DTP vaccine (including DTP vaccine) and measles vaccine (including leprosy vaccine, measles vaccine and measles vaccine) will reach more than 90% in rural areas.
2. By 2010, epidemic cerebrospinal meningitis vaccine, Japanese encephalitis vaccine and hepatitis A vaccine will be popularized nationwide for school-age children.
3. The vaccination rate of the target population of hemorrhagic fever vaccine reached more than 70%.
4 anthrax vaccine, leptospirosis vaccine emergency vaccination target population vaccination rate reached more than 70%.
IV. Inoculation requirements
(1) Vaccination time.
1. Hepatitis B vaccine
Three doses, one dose at birth, one month old and six months old, and the first dose should be inoculated as soon as possible within 24 hours after birth.
2. BCG
Inoculate 1 dose, and vaccinate children at birth.
3. Polio vaccine
Inoculate 4 times, and children aged 2 months, 3 months, 4 months and 4 years old are inoculated 1 time each.
4. DTP vaccine
Inoculate for 4 times, one time for children aged 3 months, 4 months, 5 months and 18-24 months respectively. The immunization program of cell-free DTP vaccine is the same as that of DTP vaccine. At the stage of insufficient supply of cell-free DTP vaccine, the cell-free DTP vaccine is used to replace DTP vaccine in the order from the fourth dose to the first dose; The insufficient part continues to use DTP vaccine.
5. DTP vaccine
Inoculate 1 dose, when children are 6 years old.
6 measles vaccine (leprosy, measles vaccine)
At present, at the stage of insufficient supply of measles vaccine, the transitional immunization program with measles vaccine is used. One dose of leprosy vaccine was inoculated at the age of 8 months, and measles vaccine continued to be used for the part with insufficient leprosy vaccine. 18-24 months old, one dose of measles vaccine was inoculated, the insufficient part of measles vaccine was replaced by measles vaccine, and the insufficient part of measles vaccine continued to be used.
7. meningococcal vaccine
Inoculate 4 doses, children aged 6-18 months with 2 doses of group A meningococcal vaccine, and children aged 3 years and 6 years with 1 dose of group A+C meningococcal vaccine respectively.
8. Japanese encephalitis vaccine
Live attenuated Japanese encephalitis vaccine was inoculated twice, and children aged 8 months and 2 years old were inoculated once each. Inactivated Japanese encephalitis vaccine was inoculated 4 times, 2 times for children aged 8 months, and 1 time for children aged 2 years and 6 years respectively.
9. Hepatitis A vaccine
Live attenuated hepatitis A vaccine was inoculated once, and children were vaccinated at the age of 18 months. Inactivated hepatitis A vaccine was inoculated twice, and children aged 18 months and 24-30 months were inoculated once each.
10. Hemorrhagic fever vaccine
Inoculate 3 doses, the second dose 14 days after the first dose, and the third dose 6 months after the first dose.
11. Anthrax vaccine Anthrax vaccine is inoculated once, and it is inoculated in the event of an anthrax epidemic. Direct contacts and patients of cases or sick animals cannot be vaccinated.
12. Leptospira vaccine is inoculated with 2 doses, and the recipient is inoculated with the second dose 7-10 days after the first dose. See the attached table for vaccine immunization procedures.
(2) vaccination targets.
1. According to the immunization program, all school-age children who have reached the age of the month (year) should be vaccinated.
2. The vaccine newly incorporated into the national immunization plan is targeted at children who have reached the age of each dose specified in the immunization program from the specified implementation time.
3. The vaccination targets of intensive immunization are determined according to the implementation plan of intensive immunization.
4. Hemorrhagic fever vaccination is the target population aged 16-60 in key areas.
5 anthrax vaccination targets are indirect contacts of anthrax cases or sick animals and high-risk groups around epidemic spots.
6. Leptospira vaccination targets are high-risk groups aged 7-60 who may be exposed to epidemic water in epidemic areas.
V. Scope of implementation
(1) Expand the national immunization program to cover 31 provinces, autonomous regions, municipalities directly under the Central Government and Xinjiang Production and Construction Corps.
(two) hepatitis B, BCG, polio, DTP, meningitis, DTP and other vaccines are implemented nationwide.
(3) JE vaccine shall be fully implemented in other provinces, autonomous regions and municipalities directly under the Central Government except Tibet, Qinghai, Xinjiang and Xinjiang Production and Construction Corps. Whether Tibet, Qinghai, Xinjiang and Xinjiang Production and Construction Corps carry out JE vaccination shall be determined by the above-mentioned regional health bureaus and reported to the Ministry of Health.
(IV) Hepatitis A vaccine, measles virus, acellular pertussis, etc. cannot meet the vaccination of all school-age children for the time being, and the provincial health administrative department (including the Health Bureau of Xinjiang Production and Construction Corps, the same below) selects the implementation area and the implementation object according to the annual central special fund arrangement plan, the epidemic situation of diseases and the feasibility of implementation. With the increase of vaccine supply, the scope of implementation will be gradually expanded.
(five) the scope of implementation of the polio vaccine and measles vaccine shall be determined according to the implementation plan of the supplementary immunization.
(six) hemorrhagic fever vaccine according to the epidemic situation to determine the implementation of the province. Anthrax vaccine and leptospirosis vaccine shall be inoculated in case of anthrax and leptospirosis epidemic or flood disaster which may lead to leptospirosis outbreak.
VI. Implementation Measures
(1) Strengthen leadership and organize the implementation of the expanded national immunization program.
Local health administrative departments at all levels should take the implementation of the expanded national immunization program as the current focus and earnestly strengthen leadership. It is necessary to formulate a specific implementation plan for expanding the national immunization program in this region, and under the leadership of the local people’s government, in conjunction with relevant departments such as finance, development and reform, education, food and drug supervision, organize and implement the work of expanding the national immunization program.
(two) extensive publicity to raise public awareness of expanding the national immunization program.
We should give full play to all social forces, make full use of radio, television, newspapers, internet and other forms, vigorously publicize the policies and achievements of the national immunization program, and the significance of implementing immunization programs to protect public health. Carry out regular publicity and "4.25" vaccination day publicity activities, widely popularize vaccination knowledge, improve the enthusiasm and initiative of the whole society to participate in the national immunization program, and create an atmosphere for the whole society to participate in the implementation of the national immunization program.
(3) Strengthen team building and improve the ability to implement the national immunization program.
Local health administrative departments at all levels should, according to the task of expanding the national immunization program, strengthen the construction of institutions and teams related to immunization program, rationally plan and set up vaccination units, and adjust and enrich immunization program professionals and grassroots vaccination personnel. Make a training plan, do a good job in the training of immunization planning professionals, grassroots vaccinators and relevant personnel of medical institutions, and improve their professional level and service ability. Disease prevention and control institutions at all levels should strengthen the technical guidance for the implementation of the expanded national immunization program.
(four) improve the form of immunization services, standardize vaccination behavior, improve the quality of immunization services.
According to the contents and requirements of expanding the national immunization program, combined with the local actual situation, we should adjust the forms of immunization services and increase the number of services to ensure that school-age children receive vaccination services in time. Strengthen the management of vaccination services, and carry out vaccination in strict accordance with the relevant provisions of the Code of Practice for Vaccination and the new immunization procedures. Strengthen the vaccination work of remote and poor areas and floating children, and strive to improve the vaccination rate. Actively cooperate with the education department to do a good job in the inspection of children’s nursery and school vaccination certificates. Accelerate the construction of information management system for children’s vaccination, and provide information support for the implementation of the expanded national immunization program.
(five) to strengthen the construction of cold chain, to ensure the national immunization program vaccine cold chain operation.
It is necessary to expand the cold chain capacity according to the needs of expanding the national immunization program, and improve the mechanism of cold chain construction, supplement and renewal. Disease prevention and control institutions and vaccination units should strictly implement the cold chain operation of vaccines in accordance with the requirements of the "Regulations on the Management of Vaccine Storage and Transportation" and do a good job in the cold chain monitoring and management of all aspects of the storage, transportation and use of vaccines under the National Immunization Program.
(six) strictly regulate the use and management of special funds.
Use the special funds for expanding the national immunization program in strict accordance with the regulations on the management of special funds for public health to ensure earmarking. Effectively strengthen the registration, use and management of vaccines and syringes, and timely allocate vaccination subsidies for rural doctors and other preventive and health care personnel. All provinces, autonomous regions, municipalities directly under the Central Government and Xinjiang Production and Construction Corps will report the annual demand plan for vaccines and supporting syringes for the next year to China Center for Disease Control and Prevention before the end of October each year. China Center for Disease Control and Prevention summarized and reported to the Ministry of Health. The selection and procurement methods of vaccine varieties for expanding the national immunization program shall be implemented in accordance with the relevant provisions of the Ministry of Health and the Ministry of Finance.
Seven, supervision and evaluation
Local health administrative departments at all levels should regularly organize supervision and evaluation of the implementation of the expanded national immunization program within their respective jurisdictions, formulate scientific supervision and evaluation plans, carry out regular supervision and evaluation activities step by step at the provincial, municipal and county levels, find problems in time and solve them, and urge and guide all measures to be implemented. The Ministry of Health will regularly assess and evaluate the implementation of national immunization programs in various places.
Editor: Yin Wei