マンプとルベッラは,フィンランドから排除されました
H Peltola1, I Davidkin, M Paunio
1Hospital for Children and Adolescents, PO Box 281, FIN-00029 HUS, Helsinki, Finland. heikki.peltola@hus.fi
JAMA
|November 22, 2000
まとめ
フィンランド フィンランド フィンランド フィンランド
科学分野:
- 免疫学 免疫学とは
- ワクチン学 ワクチン学
- 公衆衛生は公衆衛生である.
背景:
- フィンランドは1982年に,2用量の麻疹・疹・赤血球 (MMR) ワクチン接種プログラムを実施した.
- mumps と rubella の疑わしい症例の強制的な血清学的確認は,1987年に確立されました.
- ワクチンに関連した死亡または後遺症は報告されていません.
研究 の 目的:
- フィンランドにおけるマムプスとルーベラの撲滅に対する2用量のMMRワクチン接種プログラムの影響を評価する.
- ワクチン接種戦略の長期的効果を評価し,先住民族の病気やアウトブレイクを予防する.
主な方法:
- 1982年から1999年にかけての全国ワクチン接種率のデータを分析した.
- 輸入感染および本土感染を含むマムプスおよびルベッラ症例の監視.
- ワクチンに関連する有害事象のモニタリング.
主要な成果:
- 1996年までに先住民のマムプスとルベッラが撲滅されました.
- 高いコミュニティ免疫は,輸入された症例から二次的な感染拡大を防止しました (1997年-1999年).
- 毎年数千人のマムプスの合併症や先天性赤毛症候群の症例を予防しています.
結論:
- 2用量のMMRワクチン接種政策により,フィンランドの先住民のマムプスとルベッラが効果的に排除されました.
- 高いワクチン接種率を維持することは,将来の疫病発生を防ぐために極めて重要です.
- フィンランドは,ワクチンの予防可能な病気の根絶に成功したモデルとして機能しています.
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