注:按儿童户籍地类型分别报告;从乡级开始逐级汇总上报。
表3-2
山东省2010年脊灰疫苗强化免疫情况统计表
山东省 ______市_________区(县) _________乡(镇、街道) 儿童户籍地类型:
本地儿童 / 流动儿童
填表人:
填表日期:
年
月
日
单位
| 应种儿童数(出生年份)
| 实种儿童数(出生年份)
| 强化免疫前
“0剂次”儿童数
| 建卡情况
|
2010
| 2009
| 2008
| 2007
| 2006
| 2005
| 合计
| 2010
| 2009
| 2008
| 2007
| 2006
| 2005
| 合计
| <1岁
| 1-岁
| 合计
| 已建
| 未建
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注:按儿童户籍地类型分别报告;从乡级开始逐级汇总上报。
表3-3
山东省2010年麻疹疫苗查漏补种情况统计表
山东省 ______市_________区(县) _________乡(镇、街道) 儿童户籍地类型:
本地儿童 / 流动儿童
填表人:
填表日期:
年
月
日
单位
| 应种儿童数(出生年份)
| 实种儿童数(出生年份)
| 查漏补种前
免疫史儿童数
|
2003
| 2002
| 2001
| 2000
| 1999
| 1998
| 1997
| 1996
| 1995
| 合计
| 2003
| 2002
| 2001
| 2000
| 1999
| 1998
| 1997
| 1996
| 1995
| 合计
| 0
剂次
| 1
剂次
| 2
剂次
| ≥3剂次
| 合计
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