评估COVID-19对赞比亚儿童常规免疫接种覆盖率的影响
Kelvin Mwangilwa1, Charles Chileshe1, John Simwanza1
1Zambia National Public Health Institute, Kabulonga, Lusaka.
PLOS global public health
|July 30, 2024
概括
在赞比亚,COVID-19大流行扰乱了儿童常规免疫接种,导致麻疹疫苗接种率大幅下降. 在疫情期间维持基本卫生服务对于预防疫苗可预防的疾病和儿童死亡率至关重要.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 疫苗可预防疾病的复苏是全球日益关注的问题.
- 流行病可能会破坏基本的卫生服务,包括常规免疫接种,增加儿童的脆弱性.
- COVID-19大流行对常规儿童免疫服务的影响需要紧急评估.
研究的目的:
- 评估COVID-19大流行对赞比亚常规免疫接种的影响.
- 量化COVID-19爆发前后免疫利用模式的变化.
主要方法:
- 采用了一个中断时间序列研究设计.
- 分析了2017年1月至2022年12月的国家免疫覆盖率数据.
- 用季节性调整的Poisson回归模型来评估免疫利用率的变化.
主要成果:
- 观察到麻疹第二剂量覆盖率显著下降 (RR,0.59).
- 罗塔病毒第一剂和第二剂的覆盖率呈现下降趋势 (两者的RR为0.97).
- 口服脊髓灰质炎病毒 (OPV) 剂量二和三,BCG和五剂量一和三显示出增加的趋势.
结论:
- 报道称,COVID-19疫情对赞比亚的免疫服务利用产生了意想不到的后果.
- 在健康危机期间确保儿童免疫服务的连续性至关重要.
- 投资于有弹性的医疗保健基础设施和熟练的劳动力是防止干扰和减轻长期健康影响的关键.
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