Current incident status of vaccine-preventable bacterial and viral infectious diseases in Japan.
Current incident status of vaccine-preventable bacterial and viral infectious diseases in Japan.
复制标题
日本疫苗可预防的细菌和病毒传染病的现状。
DOI：
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发表时间：
2010
期刊：
影响因子：
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通讯作者：
N. Okabe
中科院分区：
文献类型：
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作者：
H. Kamiya;T. Shimada;N. Okabe
评估一个国家感染控制措施的重要一步是了解其当前的疾病流行病学状况。准确了解当前的疾病状况，使我们能够识别需要改进的领域，评估疫苗的有效性，并揭示需要引入新疫苗来缓解公众压力。本文参考国立感染症研究所传染病监测中心等的监测结果，讨论日本疫苗可预防的细菌性和病毒性传染病的发生情况。目前常规疫苗接种疾病监测数据显示，麻疹、风疹控制良好，但青壮年百日咳呈上升趋势，亟待完善疫苗接种策略。自愿接种疾病数据显示，由于疫苗接种覆盖率低，总体人群缺乏预防效果。为了纠正这种情况，重要的是采取修改常规疫苗接种计划以纳入目前自愿疫苗、批准日本尚未批准的疫苗以及推广使用新批准的疫苗等措施。还需要扩大应对系统，包括丰富对疫苗可预防疾病的监测。
An important step to evaluate infection control measures of a country is to understand its current disease epidemiology status. Accurate understanding of the current disease status allow us identify the area that needs to be improved, evaluate vaccine effectiveness, and reveal the needs to introduce new vaccines for public relief. This paper discusses the occurrence of vaccine-preventable bacterial and viral infectious diseases in Japan, referring to the surveillance results conducted by Infectious Disease Surveillance Center of National Institute of Infectious Diseases and other sources. The current surveillance data for the diseases under the routine vaccination program shows that measles and rubella are controlled well, while the tendency of increase in pertussis in young adults calls for the improvement of vaccination strategies. The data for the diseases under voluntary vaccination revealed a lack of preventive effect in the overall population as a result of low vaccination coverage. In order to rectify this situation, it is important to take measures such as revising the routine vaccination program to include currently voluntary vaccines, approving vaccines that have not been approved in Japan, and promoting the use of newly approved vaccines. It is also necessary to expand the response system including enriching the surveillance of vaccine-preventable diseases.