【正文】 ） 庫存疫苗數(shù) （人份） 一致 性 脊灰疫苗 是□ 否□ 甲肝疫苗 是□ 否□ 三、預(yù)防接種信息化 隨機(jī)選取 12 種疫苗核對平臺錄入數(shù)字與帳苗登記數(shù)字是否一致？是□ 否□ 選 2 個鄉(xiāng)某月，核實(shí)常規(guī)報表 61 與平臺上報 告的 本地流動數(shù)據(jù)核對是否一致？ 是□ 否□ 四、麻疹監(jiān)測 2020 年以來， 縣 級在消除和控制麻疹工作方面，采取了那些措施 ? 是否按月以簡報的形式對麻疹監(jiān)測控制工作進(jìn)行分析和反饋通報？ 14 月共發(fā) 次簡報。 9 調(diào)查醫(yī)院內(nèi)科、傳染科、兒科住院和門診病例 14 月麻疹病例漏報情況，診斷風(fēng)疹 例 ， 麻疹 例 ，是否全部上報？ 是□ 否□ 。 五 、 AEFI 監(jiān)測 AEFI 報告監(jiān)測系統(tǒng)是否進(jìn)行日審核？（查看 AEFI 監(jiān)測系統(tǒng)有無未審核個案，若有未審核個案即可定為未進(jìn)行日審核） 是□ 否□ 有無今年第一季度 AEFI 分析報告？ 是□ 否□ 如有 AEFI 個案，調(diào)查表 是否 在調(diào)查后 3 日內(nèi)上傳 ？是□否□ ，若否，有 例未及時上傳。 核對 3 例紙質(zhì) AEFI 個案報告卡與系統(tǒng)個案報告資料是否一致 ？ 是□否□ （不足 3 例全部核實(shí)） 其中，關(guān)鍵項（ *為關(guān)鍵項目）缺失 項，不符 項。 二、疫苗管理 是否按月進(jìn)行疫苗預(yù)算？是□ 否 □，是否按月進(jìn)行冷鏈運(yùn)轉(zhuǎn)？是□ 否□，冰箱庫存的疫苗是否超過月疫苗預(yù)算數(shù)？是□ 否□ 鄉(xiāng)上有無縣到鄉(xiāng)疫苗運(yùn)輸途中溫度記錄？是□ 否□ 存儲疫苗正在運(yùn)行的 冰箱（柜 或冷庫 ） 共有 個，有 溫度計 的 個，每日 有 2 次溫度記錄的有 個。 疫苗管理（現(xiàn)場觀察并記錄疫苗儲存情況 ，城市接種門診，選 2種疫苗進(jìn)行核對 ） 存放溫度 是否合適 帳目數(shù)量 （人份） 存放數(shù)量 （人份） 帳苗相符 脊灰 糖丸 是□ 否 是□ 否 12 □ □ 百白破疫苗 是□ 否□ 是□ 否□ 白破疫苗 是□ 否□ 是□ 否□ 麻疹疫苗 是□ 否□ 是□ 否□ 麻疹風(fēng)疹疫苗 是□ 否□ 是□ 否□ 麻疹腮腺炎疫苗 是□ 否□ 是□ 否□ 麻腮風(fēng)疫苗 是□ 否□ 是□ 否□ 乙肝疫苗 是□ 否□ 是□ 否□ A 群流腦疫苗 是□ 否□ 是□ 否□ A+C流腦疫苗 是□ 否□ 是□ 否□ 乙腦疫苗 是□ 否□ 是□ 否□ 甲肝疫 苗 是□ 否 是□ 否 13 □ □ 查看疫苗出入庫登記，查看是否有短效期疫苗后出庫的情況？是□ 否□ 三、常規(guī)免疫接種 對 當(dāng)月應(yīng)種而漏種的兒童，是否 開展了漏種補(bǔ)種？ （要求看到查漏補(bǔ)種記錄）是□ 否□ 為了規(guī)范接種，觀察接種日開展接種的門診的接種人員是否按規(guī)范開展工作？是□ 否□，或與接種人員交談，從其描述中了解是否能夠達(dá)到規(guī)范接種要求？是□ 否□ 四、 AEFI 監(jiān)測 15 月 有無 疑似異常接種反應(yīng) 發(fā)生 ？有□ 無□ ，如有， 報告 否 ？ 是□ 否□，調(diào)查 否 ？ 是□ 否 □ 14 五、接種率調(diào)查 基礎(chǔ)免疫查看 2020 年 6 月 1 日至 2020 年 5 月 31 日出生兒童接種卡片；麻疹加強(qiáng)劑次和甲肝疫苗查看滿 2歲的兒童卡片。 及時接種為按照國家免疫 15 程序推薦的月份的一個月內(nèi)接種為及時，乙肝疫苗首針及時應(yīng)在 24 小時內(nèi)完成（即出生當(dāng)天和第 2 天都為及時）。監(jiān)測病例的定義為：發(fā)熱、出疹，伴咳嗽、卡他性鼻炎或結(jié)膜炎、淋巴結(jié)腫大、關(guān)節(jié)炎 /關(guān)節(jié)痛癥狀之一者，或傳染病責(zé)任疫情報告人懷疑為麻疹或風(fēng)疹的病例。 19 表 6 陜西省免疫規(guī)劃工作督導(dǎo)反饋單 督 導(dǎo) 時間 年 月 日至 年 月 日 督導(dǎo)市 /縣 督 導(dǎo) 內(nèi)容 參 加 人員 存在問題： 20 提出建議或意見： 被督導(dǎo)市 /縣衛(wèi)生主管領(lǐng)導(dǎo)簽字： 日期： 年 月 日 21 （英文版 ） Two regulations promulgated for implementation is in the party in power for a long time and the rule of law conditions, the implementation of prehensive strictly strategic plan, implementation in accordance with the rules and discipline to manage the party, strengthen innerparty supervision of major initiatives. The two regulations supporting each other, the code adhere to a positive advocate, focusing on morality is of Party members and Party leading cadres can see, enough to get a high standard。 the second part is the interpretation of the two fundamental principles of the revision of laws and regulations in the party。 the fourth part on how to grasp the implementation of the two regulations of the party. code and Regulations revised the necessity and revised 22 history of the CPC Central Committee the amendment to the Chinese Communist Party members and leading cadres honest politics several guidelines and Chinese Communist Party discipline and Punishment Regulations column 1 by 2020 to strengthen party laws and regulations focus. Two party regulations revision work lasted a Years, pooling the wisdom of the whole party, ideological consensus, draw historical experience, respect for the wisdom of our predecessors, which reflects the unity of inheritance and innovation。s leadership, to solve the masses of the people reflect a focus on the problem. The new revision of the code and rule , reflects the party39。s eighteen years prehensive strictly practice. (a) revised two regulations of the party need of the ICAC guidelines in in 1997 Leaders as members of the Communist Party of China clean politics certain criteria (Trial) based on revised, the promulgation and implementation of January 2020, to strengthen the construction of the contingent of leading cadres play an 23 important role. But with the party to manage the party strictly administering the deepening, has not been able to fully meet the actual needs. Content is too plicated, eight prohibition, 52 are not allowed to hard to remember, and also difficult to put into practice。 the third is banned terms and discipline law, both with the party discipline, disciplinary regulations repeat and Criminal law and other laws and regulations repeat。 two is the political discipline regulations is not prominent, not specific, for violation of the party constitution, damage the 24 authority of Party Constitution of misconduct lack necessary and serious responsibility to pursue。s eighteen, ten eight plenary, the spirit of the Fourth Plenary Session of the Eleventh Central Committee and General Secretary Xi Jinping important instructions on the revised low political criterion and Regulations , highlighting the ruling party characteristics, serious discipline, the discipline quite in front of the law, based on the current, a longterm, advance as a whole, with Bu Xiuding independent rule and rule . Main principle is: first, adhere to the party constitution to follow. The constitution about discipline and selfdiscipline required specific, awaken the party constitution of party passes party consciousness, maintaining the authority of the constitution. General Secretary Xi Jinping pointed out that no rules, no side round. Party constitution is the fundamental law, the party must follow the general rules. In early 2020 held the eighth session of the Central Commission for Discipline Inspection Fifth Plenary Session of the 16th Central Committee, Xi Jinping again pointed out that constitution is the party must follow the general rules, but also