预防接种工作实施方案为了更好地落实国家预防接种基本服务工作，促进公共卫生服务均逐步均等化，根据国家基本公共服务预防接种管理项目要求，结合我乡实际，特制定本方案。
一、目标(一)保持乙肝疫苗、卡介苗、脊灰减毒活疫苗、百白破疫苗、白破疫苗、麻疹类(含麻风疫苗、麻腮疫苗、麻腮风疫苗、麻疹疫苗)疫苗高水平的接种率（98%以上）。
（二）做好无细胞百白破疫苗、流脑疫苗、甲肝减毒活疫苗等新纳入国家免疫规划疫苗的实施工作。
(三)在全乡组织对适龄儿童开展麻疹疫苗强化免疫活动。
二、项目范围和内容（一）范围1、覆盖全村。
乙肝、卡介苗、脊灰、百白破、白破、流脑(A群和A+C群)、甲肝减毒活疫苗等疫苗继续在全乡范围实施。
2、脊灰减毒活疫苗强化兔疫活动覆盖全部目标儿童。
(二)内容1、常规接种按照《扩大国家免疫规划实施方案》，为适龄儿童提供乙肝疫苗、卡介苗、脊灰减毒活疫苗、百白破疫苗、白破疫苗、麻腮风疫苗、A群流脑疫苗、A+C群流脑疫苗、甲肝减毒活疫苗等疫苗的常规接种服务。
因麻腮风疫苗供应不足，采用过渡期免疫方案:8月龄接种麻风疫苗，18-24月龄接种麻腮风疫苗或麻腮疫苗，不足的部分继续使用麻疹疫苗。
在无细胞百白破疫苗供应不足阶段，按照免疫程序，根据分配计划用无细胞百白破疫苗替代第3、4剂次，不足部分继续使用全细胞百白破疫苗。
2、脊灰减毒活痪苗强化免疫对象为0-4岁儿童，每名适龄儿童接种2剂次。
3、发生炭疽疫情时，对重点人群进行炭疽疫苗应急接种。
三、组织实施按照县卫生局、县疾控中心、乡卫生院要求，实施方案并组织落实。
Unit 1After living in the 24-hour city of Las Vegas, Nevada for nearly ten years, my family and I decided to slow things down. My daughter wanted a horse. My husbandwanted property. My son wanted a dirt bike. I wanted our family to bemore self-sufficient.None of us felt that this could be accomplished where we were living and we all agreed that a move to the country would be great for everyone.Before long we set about looking for a home in Yucca, Arizona, a very small town of less than 1,000 people. It was while I was scanning listings from our real estate agent that I first learned of it. There was a home for sale there on 40 acres. When I calledto inquire about the property, I was informed that there was no electricity available in the area. What? No electricity? I almost dismissed the idea immediately.The property was off the grid. It was not connected whatsoever to any utilities —power, water or sewer. Power was supplied by a wind turbine and solar panels. Water had to be hauled in and stored in two tanks located on the property. Forty acres would give us plenty of room for all of our animals and give my husband and son space to ridetheir ATVs. Besides, what better way is there to become more self-sustainable? After giving it some thought, we decided to put in an offer and moved in on Thanksgiving Day.When we first moved to the property, we did some remodeling and stayed in our motor home. We were confronted with real challenges at the time. The power kept going out, the main water line to the house broke, the plumbing backed up into the frontyard and the generator died.But the setbacks just made us work harder. We slowly got things fixed and moved into the house after 38 days in the RV. The next challenge was to become familiarwith your power system, and to learn the ins and outs of hauling your own waterand generating your own power.Our off-the-grid system consists of eight solar panels (1,000 watts) that are mounted on a sun tracker rack. We also have a wind turbine that generates 3,000 watts in 24 mph winds. The energy generated by the wind and sun is stored in 16 6v golf cart batteries. We also have two 2,500-gallon above-ground water tanks and a 250-gallon propanetank. Every weekend, we haul two 275-gallon water tanks to the nearby town of Yucca and fill them with water, which we then pump into our big water tanks.While living here for the past four months has been a big adjustment, there are many benefits to living off the grid. I think one of the greatest is teaching my kids the importance of conservation. They used to take water, power and gas for granted. The first week we were here, we used almost 1,000 gallons of water. With only a 5,000-gallon water tank, it didn’t take them long to understand that we had to use less water. We started taking quicker showers, doing only full loads of laundry, turning off the water while brushing our teeth or shaving.Over-consumption is even more clearly demonstrated by our electricity usage. We have a digital readout of how many volts of DC power we have stored in our batteries at any given time. If you turn on a light or the TV, the number goes down. In order to protect the batteries, the system is set up to shut the inverter off if the volts get toolow. Then the power goes out. When we first moved in, we lost power almost daily. After this happens a few times, it becomes clear very quickly just how often you waste electricity. Everything from lights and ceiling fans to computers and radios were left on when they were not in use. The cell phone chargers were plugged in even when they weren’t charging anything. All of this uses unnecessary power. We are steadily learning to be more diligent with our power usage.In addition, we are also trying to make other changes. They include reducing the amount of trash we generate by recycling and composting, growing ourown organic vegetables, and reusing and repurposing things that we wouldnormally toss. We also want to produce our own eggs and goat’s milk in the near future.Overall, going off the grid has been great for our family. We have learned how to conserve power and water and to really appreciate what the earth gives to us every day. I hope that once my kids move out of the house, they will keep the habits that they have learned by living off the grid.。