疹和红疹在芬兰已经被消除
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
概括
芬兰 芬兰 芬兰 芬兰
科学领域:
- 免疫学 免疫学 免疫学
- 疫苗学 疫苗学 疫苗学
- 公共卫生 公共卫生
背景情况:
- 芬兰在1982年实施了一项国家二剂量麻疹-疹-红疹 (MMR) 疫苗接种计划.
- 怀疑疹和红疹病例的强制性血清学确认于1987年建立.
- 没有报告疫苗相关死亡或后果.
研究的目的:
- 评估双剂量MMR疫苗接种计划对芬兰 mumps和红疹消除的影响.
- 评估疫苗接种战略在预防本土疾病和疫情的长期有效性.
主要方法:
- 对1982年至1999年全国疫苗接种覆盖率数据的分析.
- 对疹和红疹病例的监测,包括进口和本土感染.
- 监测与疫苗有关的不良事件.
主要成果:
- 1996年,本土性疹和红疹已经被消灭.
- 高水平的社区免疫力防止了从进口病例中传染的二次传播 (1997-1999年).
- 每年预防成千上万的疹并发症和先天性红疹综合征病例.
结论:
- 双剂量MMR疫苗接种政策有效地消除了芬兰本土的疹和风疹.
- 持续高的疫苗接种覆盖率对于预防未来的疫情至关重要.
- 芬兰是成功根除疫苗可预防疾病的典范.
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