今年4月25日是第25個“全國預防接種日”，衛生部決定于2010年4月19日—25日開展以“消除麻疹，控制乙肝，你我共參與”為主題的預防接種宣傳周活動。在活動到來之前，世衛組織與衛生部聯合舉辦了新聞發布會，并做出每個人都采納相關的免疫接種建議，以便使疫苗為社會帶來最大的效益這一呼吁。

預防接種是一項社會工程，接種工作的實施與落實不僅需要多部門的配合，更需要全社會的參與，提高全社會參與國家免疫規劃工作的積極性和主動性，營造全社會參與實施國家免疫規劃的氛圍。具體到疾病預防控制機構，衛生部在新聞宣傳中提到我們要加強實施擴大國家免疫規劃工作的技術指導；加強預防接種服務管理，嚴格按照《預防接種工作規范》的相關規定開展預防接種。強化邊遠、貧困地區和流動兒童的預防接種工作，努力提高接種率。疾病預防控制機構、接種單位還要按照《疫苗儲存和運輸管理規范》的要求，嚴格實施疫苗的冷鏈運轉，做好疫苗的儲存、運輸、使用各環節的冷鏈監測和管理工作。

JAMA, the Journal of the American Medical Association（《美國醫協會雜志》）最近發布了一篇關于美國免疫信息系統（IISs）進展的文章。讓我們來看一下在信息化程度較高的美國，他們是如何開展并管理疫苗接種及相關工作，希望這能讓我們的工作有所進步創新。感興趣的朋友們可以到以下網址查看原文：http://jama.ama-assn.org/cgi/content/full/303/14/1361

Progress in Immunization Information Systems—United States, 2008

Immunization information systems (IISs) are confidential, computerized information systems that collect and consolidate vaccination data from multiple health-care providers, generate reminder and recall notifications, and assess vaccination coverage within a defined geographic area.1 A CDC program goal for 2010 is to achieve >95% participation in an IIS (defined as having two or more recorded vaccinations) among children aged <6 years. To monitor progress toward this goal, CDC annually surveys immunization grantees in 50 states, five cities, and the District of Columbia, using the Immunization Information Systems Annual Report (IISAR). All 56 grantees were asked to complete the IISAR; 52 did so for 2008. This report highlights results from the 2008 IISAR, which indicated that 75% of all U.S. children aged <6 years (approximately 18 million children) participated in an IIS in 2008, an increase from 65% in 2006.1 The majority of grantees (82%) reported that their IIS had the capacity to track vaccinations for persons of all ages, compared with 70% in 2006.1 Data-quality measures of timeliness and completeness indicated that in 2008, 67% of IIS data were received and processed within 30 days of vaccine administration, and data were reported for six of 17 core data elements in >90% of IIS records (both measures are similar to 2006 results). Increased provider use of electronic health record systems can benefit IISs and their users by producing immunization records that are more timely and complete.

JAMA. 2010;303(14):1361-1362.

MMWR. 2010;59:133-135

（編輯：劉鵬達）