希腊克里特岛农村三个初级卫生保健地区学童疫苗接种覆盖率评估。

Assessment of vaccine coverage of schoolchildren in three primary health care areas in rural Crete, Greece.

作者信息

Lionis C, Chatziarsenis M, Antonakis N, Gianoulis Y, Fioretos M

机构信息

Department of Social and Family Medicine, Medical School, University of Heraklion, Greece.

出版信息

Fam Pract. 1998 Oct;15(5):443-8. doi: 10.1093/fampra/15.5.443.

DOI:10.1093/fampra/15.5.443

PMID:9848431

Abstract

OBJECTIVE

A school-based immunization survey was used to assess vaccination coverage of a population of children in the region of three Primary Health Care Centres in rural Crete.

METHODS

The medical charts of 771 (92.6% of the total) students attending primary schools at the municipalities of Archanes and Hersonissos in the district of Heraklion, and Neapolis in the district of Lasithi, as well as the charts of 438 (68.9% of the total) students attending the secondary school at Neapolis, Lasithi, were obtained. The immunization records from these charts were then compiled and analysed. All information was based on the standardized procedures of the Spili Health Centre, Crete. The age-specific vaccination rate was calculated for children of both primary and secondary school age.

RESULTS

The vaccination coverage against diphtheria and tetanus was high (82%, 1035 pupils had received the fifth dose) for both groups of students, while the coverage for pertussis was incomplete, especially the fifth dose, which had been received by only 17% (n = 131) of the children of primary school age and 4.3% (n = 19) of the children of secondary school age. In total, 638 of the children of primary school age (82.7%) and 257 (58.7%) of the children of secondary school age were immunized against measles. The corresponding numbers and the percentages of children of primary and secondary school age immunized against mumps and rubella were: 75.6% (n = 583) and 36.3% (n = 159) for mumps, and 74.7% (n = 576) and 32% (n = 140) for rubella.

CONCLUSION

Immunization coverage of schoolchildren in the studied areas is inadequate in a number of instances. This appears to be most pronounced in children of secondary school age. The school-based immunization survey, which is an accurate and inexpensive tool for assessing vaccination coverage, is suggested as an appropriate means for primary health care workers in Greece to develop further and increase the immunization rate.

摘要

目的

采用一项基于学校的免疫接种调查，评估克里特岛农村地区三个初级卫生保健中心所在区域儿童群体的疫苗接种覆盖率。

方法

获取了伊拉克利翁地区阿坎内斯和赫索尼索斯市以及拉斯ithi地区内阿波利的771名（占总数的92.6%）小学生的病历，以及拉斯ithi地区内阿波利中学438名（占总数的68.9%）学生的病历。然后对这些病历中的免疫接种记录进行整理和分析。所有信息均基于克里特岛斯皮利健康中心的标准化程序。计算了小学和中学适龄儿童的年龄特异性疫苗接种率。

结果

两组学生对白喉和破伤风的疫苗接种覆盖率都很高（82%，1035名学生接种了第五剂），而百日咳的覆盖率不完整，尤其是第五剂，小学适龄儿童中只有17%（n = 131）接种，中学适龄儿童中只有4.3%（n = 19）接种。小学适龄儿童中共有638名（82.7%）、中学适龄儿童中共有257名（58.7%）接种了麻疹疫苗。小学和中学适龄儿童接种腮腺炎和风疹疫苗的相应人数及百分比分别为：腮腺炎75.6%（n = 583）和36.3%（n = 159），风疹74.7%（n = 576）和32%（n = 140）。