Outdated vaccines involving children in Jiangsu Province are still increasing and hospitals involved are in long-term chaos.

 Outdated vaccines involving children in Jiangsu Province are still increasing and hospitals involved are in long-term chaos.

On the afternoon of January 10, many parents came to check and register in the Licheng Preventive and Protection Center of Jinhu County. Pictures provided by respondents

After the exposure of the outdated polio vaccine incident in Jinhu County, Jiangsu Province, local parents began to check themselves. At 7 p.m. on January 12, a reporter from China Newsweek saw that although it was Saturday night, there were still staff responsible for reception. Many parents reported to reporters that according to the vaccination books at home and the records printed at the county CDC, the suspected expired vaccine is not only a kind of polio vaccine, but also involves more than 145 children announced officially, and the number of statistics is still increasing.

After the outdated polio vaccine was given to children in Jinhu County on Jan. 7, the news was frequently forwarded in the local Wechat group. At first, Tian Hua (alias) didnt care, until three days later, when he looked at the vaccination book of his two-year-old daughter, he found that among the four vaccines that the children were vaccinated with, in 2017, the vaccination time and the doctors signature were only written, but the vaccination location, the type of vaccine, the manufacturer and so on were blank. The remaining three needles can be found in the production batch number without expiration.

In order to find out whether this leprosy vaccine without batch number is expired, Tian Hua has repeatedly visited Licheng Preventive and Protection Institute, County Health Planning Commission and County CDC for inquiries, and the answers are Registration first, there will be notification. On the evening of Jan. 10, at the Licheng Defense and Protection Center, he saw eight staff members at the scene to make statistics. Statistics are divided into two cases, one is based on the information on the vaccination book to confirm expiration, the other is unable to find the batch number, each statistical table can record 17 peoples information. According to Tian Hua, one form was full in less than 10 minutes. Within five hours of his stay, the filling of the form never stopped.

On January 12, staff members of the Jinhu County Health and Family Planning Commission explained to China News Weekly, It is not that the batch number can not be found, but that the batch number (registration) before 2017 is wrong. According to him, before 2017, batch numbers were confused, and they were temporarily seconded from other industries, and did not understand the work of the former Health Planning Commission.

In an interview with the media, Chen Hua, director of Jinhu County Health Planning Commission, said that in order to save time, staff members entered batches in the registry computer in advance. Therefore, it is easy to cause inconsistency between computer batch number and manual batch number. But it is certain that the batch number on the manual registration vaccination book is accurate.

However, according to the records in the vaccination book provided by a parent to China News Weekly, the children were vaccinated with BCG vaccine on June 19, 2018 at Jinhu County Peoples Hospital. The batch number of vaccines was 201603a027, but the query batch number showed that the vaccines were valid until March 13, 2018.

Pictures provided by respondents

If the vaccination books and computer records are inconsistent, the vaccination books are still the main ones, but it does not rule out the case of manual error in filling out. Wen Xin, a staff member of a department of Jinhu County Health Planning Commission, told China News Weekly that one of the most important reasons for the confusion in the management of Licheng Town Health Center is the lack of manpower and the long-term high-load working condition. According to the regulations, the number of vaccinations per day in a vaccination site does not exceed 200, but Jinhu County is densely populated. 80% to 90% of the vaccination tasks for children in the county are all concentrated in the Licheng Town Health Center. Fifty-six vaccination workers have to serve more than 400 people per day, and also take part in other tasks, such as vaccination management.

According to Shangguan news report, Gao Wenyu, deputy director of the medical reform office of Jinhu County Health Planning Commission, once explained, At present, the population served by Licheng Health Center is over 10300, which is equivalent to one third of the total population of the county, while there are only 12 public health personnel, three of whom are qualified rural doctors on loan. On December 18, 2018, 500 people were vaccinated. So it is impossible to register information once for every person who is vaccinated. It is likely that ten people will be vaccinated and ten people will register information once. The batch used in the previous batch will be replaced in the next batch. He cant remember who started the change.

According to Pengmei News, Xu Yaping, the county head of Jinhu County, said in the morning of January 12, For the newly discovered suspected expired vaccine incident, the expert group we invited from the province has arrived (Jinhu). The Group of Experts has been working from yesterday (11) afternoon till 5 oclock this morning. The Group of Experts has begun to receive parents on the spot to identify the newly discovered children one by one. For the local parentsinconsistencies in certificate cards, batches and varieties, the expert group will conduct a comprehensive appraisal.

Wen Xin also disclosed to China News Weekly that in 2018, the county CDC carried out several inspections on the vaccination units vaccine renewal, and had repeatedly notified the Licheng Town Health Center of the problems of inappropriate vaccine renewal, vaccination batch number, inconsistency between the unit and the actual situation, and ordered rectification.

Source: Ji Xueying_NN6784, responsible editor of China Newsweek