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水痘突发公共卫生事件中疫苗接种史的保护效果分析
引用本文:曾四清,孙立梅,何剑峰,周荃,冯华妹,次仁达娃,陈金生.水痘突发公共卫生事件中疫苗接种史的保护效果分析[J].预防医学情报杂志,2019(3):297-302.
作者姓名:曾四清  孙立梅  何剑峰  周荃  冯华妹  次仁达娃  陈金生
作者单位:广东省疾病预防控制中心广东省公共卫生研究院;广东省疾病预防控制中心;广东省现场流行病学培训项目;潮州市疾病预防控制中心;广州市增城区疾病预防控制中心;林芝地区疾病预防控制中心;佛山市顺德区疾病预防控制中心
摘    要:目的综合评价水痘突发公共卫生事件(VPHE)中疫苗接种史的保护效果,为完善预防措施提出建议。方法查阅2012-2017年6期GDFETP学员现场流行病学调查资料汇编,收集其中采用了回顾性队列研究方法评价了VPHE中水痘疫苗接种史保护效果的研究资料,采用Rev Man 5. 3软件进行Meta分析。结果共收集到4起VPHE报告,4起VPHE中儿童水痘疫苗接种率为56. 76%~88. 95%,且基本上为1剂接种;接种组儿童罹患率为4. 07%~26. 92%。Q检验显示4个研究具有同质性,故采用固定效应模型进行Meta分析;漏斗图分析显示,未见有发表偏倚;森林图分析显示,综合疫苗保护效率为52%(95%CI:33%~65%)。结论在VPHE中,水痘疫苗接种史能发挥一定的保护作用,但1剂次接种无法全面有效阻断水痘传播,建议推荐2剂接种程序。

关 键 词:水痘  突发公共卫生事件  疫苗  效果

Analysis of Vaccine Effectiveness in Public Health Emergency of Varicella
ZENG Siqing,SUN Limei,HE Jianfeng,ZHOU Quan,FENG Huamei,CIRen Dawa,CHEN Jinsheng.Analysis of Vaccine Effectiveness in Public Health Emergency of Varicella[J].Journal of Preventive Medicine Information,2019(3):297-302.
Authors:ZENG Siqing  SUN Limei  HE Jianfeng  ZHOU Quan  FENG Huamei  CIRen Dawa  CHEN Jinsheng
Institution:(Guangdong Provincial Institute of Public Health,Guangdong Center for Disease Control and Prevention, Guangzhou 511430,Guangdong Province,China;Guangdong Center for Disease Control and Prevention,Guangzhou 511430,Guangdong Province,China;Guangdong Provincial Field Epidemiology Training Program;Chaozhou Center for Disease Control and Prevention,Chaozhou 521000,Guangdong Province,China;Zengcheng District Center for Disease Control and Prevention,Guangzhou 511300,Guangdong Province,China;Linzhi Prefecture Center for Disease Control and Prevention,Linzhi 860000,Tibet Autonomous Region,China;Shunde District Center for Disease Control and Prevention,Foshan 528300, Guangdong Province,China.)
Abstract:ZENG Siqing;SUN Limei;HE Jianfeng;ZHOU Quan;FENG Huamei;CIRen Dawa;CHEN Jinsheng(Guangdong Provincial Institute of Public Health,Guangdong Center for Disease Control and Prevention, Guangzhou 511430,Guangdong Province,China;Guangdong Center for Disease Control and Prevention,Guangzhou 511430,Guangdong Province,China;Guangdong Provincial Field Epidemiology Training Program;Chaozhou Center for Disease Control and Prevention,Chaozhou 521000,Guangdong Province,China;Zengcheng District Center for Disease Control and Prevention,Guangzhou 511300,Guangdong Province,China;Linzhi Prefecture Center for Disease Control and Prevention,Linzhi 860000,Tibet Autonomous Region,China;Shunde District Center for Disease Control and Prevention,Foshan 528300, Guangdong Province,China.)
Keywords:varicella  public health emergency  vaccine  effectiveness
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