麻疹在欧洲:流行病学评估
Mark Muscat1, Henrik Bang, Jan Wohlfahrt
1EUVAC.NET hub, Department of Epidemiology, Statens Serum Institut, Copenhagen, Denmark.
Lancet (London, England)
|January 10, 2009
概括
由于疫苗接种覆盖率低于最佳水平,欧洲在2010年消除麻疹不太可能. 提高疫苗接种率和监测对于控制麻疹疫情和实现消除目标至关重要.
科学领域:
- 流行病学 流行病学
- 公共卫生 公共卫生
- 传染病控制和控制传染病
背景情况:
- 尽管20多年来在儿童中广泛实施了疫苗接种计划,但麻疹在欧洲仍然是流行病.
- 到2010年消除麻疹的目标仍然是该地区重大公共卫生挑战.
研究的目的:
- 审查目前欧洲麻疹的流行病学情况.
- 评估实现2010年消除麻疹目标的进展情况.
主要方法:
- 关于麻疹病例的数据,包括年龄,疫苗接种情况,并发症和死亡情况,从32个欧洲国家收集了2006-07年的数据.
- 各国按麻疹发病率 (零,低,中等,高) 分类,以每10万居民的病例为基础.
- 分析了进口数据,以了解疾病传播模式.
主要成果:
- 报告共有12132例麻疹病例,其中85%集中在罗马尼亚,德国,英国,瑞士和意大利等五个国家.
- 大多数病例涉及未接种疫苗或未完全接种疫苗的人,近20%的病例发生在20岁以上的成年人中.
- 疫苗接种覆盖率低于最佳水平被认为是导致几个欧洲国家的麻疹发病率高的一个关键因素.
结论:
- 低于最佳的疫苗接种覆盖率严重危及实现2010年欧洲消除麻疹的目标.
- 实现和维持最佳的疫苗接种覆盖率对于消除麻疹至关重要.
- 加强的监测系统是欧洲消除麻疹战略的关键组成部分.
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