How close are countries of the WHO European Region to achieving the goal of vaccinating 75% of key risk groups against influenza? Results from national surveys on seasonal influenza vaccination programmes, 2008/2009 to 2014/2015.
How close are countries of the WHO European Region to achieving the goal of vaccinating 75% of key risk groups against influenza? Results from national surveys on seasonal influenza vaccination programmes, 2008/2009 to 2014/2015.
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世卫组织欧洲地区的国家有多近距离实现接种疫苗的主要风险群体的75％的目标？全国对季节性流感疫苗接种计划的调查结果，2008/2009至2014/2015。
DOI：
10.1016/j.vaccine.2017.12.019
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发表时间：
2018-01-25
期刊：
影响因子：
5.5
通讯作者：
Brown C
中科院分区：
文献类型：
--
作者：
Jorgensen P;Mereckiene J;Cotter S;Johansen K;Tsolova S;Brown C
建议接种流感疫苗，特别是对有并发症风险的人。2003年，世界卫生大会敦促会员国到2010年将老年人的疫苗接种覆盖率提高到75%。评估2010年疫苗接种目标的进展情况，并介绍世界卫生组织(世卫组织)欧洲区域的季节性流感疫苗接种建议。有关季节性流感疫苗推荐、剂量分布和目标人群覆盖范围的数据来自两个来源：欧盟和欧洲经济区MS数据摘自由疫苗欧洲新综合合作努力和欧洲疾病预防和控制中心发布的涵盖七个季节(2008/2009-2014/2015)的流感疫苗接种调查。对于世卫组织其余的欧洲多发性硬化症，2015年向国家免疫规划分发了一份关于所有季节(2008/2009-2014/2015)的政策和接种率的单独调查。53位女士中有49位提供了数据，除两位女士外，所有女士都有国家流感疫苗接种政策。与中低收入国家(中位数；每1000人口139.2)相比，高收入国家的人均疫苗分配数量(中位数；每1000人中有139.2个)要高得多。大多数国家建议老年人、慢性病患者、医护人员和孕妇接种疫苗。儿童被纳入 <； 50%的国家政策。只有一个国家的老年人覆盖率达到75%(2014/2015)，而许多国家报告疫苗接种率下降。目标群体的覆盖率总体较低，但各国之间的差异很大。几个群体的疫苗接种覆盖率没有得到监测。尽管有政策建议，流感疫苗接种仍处于次优状态。低水平的疫苗接种不仅错失了在弱势群体中预防流感的机会，而且可能对大流行的防备工作产生负面影响。需要更好地了解流感疫苗接种的障碍，以增加接种率并扭转负面趋势。此外，实施疫苗接种覆盖率监测对于评估方案的绩效和影响至关重要。
Influenza vaccination is recommended especially for persons at risk of complications. In 2003, the World Health Assembly urged Member States (MS) to increase vaccination coverage to 75% among older persons by 2010. To assess progress towards the 2010 vaccination goal and describe seasonal influenza vaccination recommendations in the World Health Organization (WHO) European Region. Data on seasonal influenza vaccine recommendations, dose distribution, and target group coverage were obtained from two sources: European Union and European Economic Area MS data were extracted from influenza vaccination surveys covering seven seasons (2008/2009–2014/2015) published by the Vaccine European New Integrated Collaboration Effort and European Centre for Disease Prevention and Control. For the remaining WHO European MS, a separate survey on policies and uptake for all seasons (2008/2009–2014/2015) was distributed to national immunization programmes in 2015. Data was available from 49 of 53 MS. All but two had a national influenza vaccination policy. High-income countries distributed considerably higher number of vaccines per capita (median; 139.2 per 1000 population) compared to lower-middle-income countries (median; 6.1 per 1000 population). Most countries recommended vaccination for older persons, individuals with chronic disease, healthcare workers, and pregnant women. Children were included in < 50% of national policies. Only one country reached 75% coverage in older persons (2014/2015), while a number of countries reported declining vaccination uptake. Coverage of target groups was overall low, but with large variations between countries. Vaccination coverage was not monitored for several groups. Despite policy recommendations, influenza vaccination uptake remains suboptimal. Low levels of vaccination is not only a missed opportunity for preventing influenza in vulnerable groups, but could negatively affect pandemic preparedness. Improved understanding of barriers to influenza vaccination is needed to increase uptake and reverse negative trends. Furthermore, implementation of vaccination coverage monitoring is critical for assessing performance and impact of the programmes.
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