The Formulation Of Prevention Strategies And Effectiveness Evaluation To Immunization Programme After The Earthquake Occurred In Yiliang Country

BackgroundTo draw lessons from the immune prevention experience and find out the deficiency after the earthquake in China. To evaluate the effect of emergency work focus on immune prevention by the return interview on immunization program me in Yiliang country. To explore coping strategies of immune prevention which fitting the stituation of our country for disaster just like earthquake.ObjectTo gathered the information of making immune prevention strategy and implementation. To knew the decision-making process. To evaluate the immune prevention effect in post-disaster health emergency work. To provided the basis for the development of immune prevention strategy in our country after natural disasters as earthquake.MethodsA retrospectively epidemic analyze was implemented to the communicable diseases data which reported before the earthquake occurred in quake hit area. Through the data collection of vaccination coverage rate and the status of damage of the immunization programme service system. The data of reported before the earthquake occurred were analyzed. The risk factors which might increase vaccine preventable diseases transmission and the list of main epidemic-prone diseases were described. The suggestion from field experts to implement the mass immunization against Hepatitis A, Measles, rubella, and Mumps was permitted by the government. The effectiveness evaluation of mass immunization was conducted through reported immunization coverage, rapid evaluation of coverage and analyze of epidemic stitution of vaccine preventable disease. The status of vaccination clinics were assessed by a return visit investigation,17months after the quake happened, that mainly focus on clicnic reconstruction, personnel allocation, wage earning, service capability, service mode, vaccination knowledges of parents, vaccination coverage, and so on.ResultsThe immunization programme service system was damaged seriously in the earthquake. The main risk factor that can increase vaccine preventable diseases transmission included temporary resettlement with poor sanitary condition, increased exposure to host animals and vectors, increased population movement, increased susceptibility to disease, and limited access to health services, especially the limitation of immunization program service. Hepatitis A, Japanese encephalitis, Rubella, Pertussis, and Varicella are with moderate transmission potential. The transmission potential of measles, Mumps, Meningitis, Polio/VDPV was low. Diphtheria transmission was unlikely. The vaccination coverage rate of HepA and MMR was98.36%and97.71%respectively in the mass vaccination. There was not AEFI events following the mass immunization. The epidemic of Measles, Rubella, Mumps, and Hepatitis A have no obviously rise trend in2013.17months after the quake happened, the vaccination clinics in quake hit area have recovered generally in several aspects such as clinic reconstruction, personnel allocation, wage earning, service capability, service mode. The basic immunization program me vaccination coverage rate is becoming higher and higher than that before the earthquake happened, but the booster vaccination of several immunization program me vaccines declined obviously. ConclusionsPreliminary assement on vaccine preventable diseases transmission risk in quake hit area is necessary. The mass immunization of HepA and MMR implemented in quake hit area in Yiliang had nice effectiveness. The vaccination strategy made after the earthquake was completely in conformity with the management theory in health emergency, which was scientific and had significance to other area. The reconstruction of immunization programme in quake area in Yiliang had achieved remarkable results, but some weaknesses persist which need further improvement.