孟加拉国杀死口服霍乱疫苗所赋予的群体免疫力:重新分析
Mohammad Ali1, Michael Emch, Lorenz von Seidlein
1International Vaccine Institute, Seoul, Korea.
Lancet (London, England)
|July 5, 2005
概括
被杀死的口服霍乱疫苗为未接种疫苗的个人提供群体保护,减少疾病传播. 高的疫苗接种覆盖率显著降低了社区的霍乱发病率,使每个人都受益.
科学领域:
- 流行病学 流行病学
- 疫苗学 疫苗学 疫苗学
- 传染病控制和控制传染病
背景情况:
- 被杀死的口服霍乱疫苗提供了直接的保护,但它们的间接 (群体) 保护受到争议.
- 了解群体保护对于决定疫苗使用和覆盖水平至关重要.
研究的目的:
- 重新分析孟加拉国实地试验的数据,以确定杀死口服霍乱疫苗是否提供间接保护.
- 评估疫苗覆盖率与霍乱发病率之间的关系.
主要方法:
- 从口服霍乱疫苗的安慰剂对照试验的监测数据的分析.
- 研究了住宅集群疫苗覆盖率和接种疫苗和未接种疫苗的人群中霍乱发病率之间的趋势.
- 对潜在的混变量进行控制.
主要成果:
- 在未接种疫苗的人群中,霍乱发病率随着疫苗覆盖率增加而下降 (p<0.0001).
- 个人接种疫苗和更高的集群覆盖率独立地降低了霍乱风险.
- 在调整集群覆盖率后,疫苗疗效仍然显著 (55%).
结论:
- 被杀死的口服霍乱疫苗为未接种疫苗的个人提供了重要的群体保护.
- 这些疫苗的广泛使用可以大大降低流行地区霍乱的负担.
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