The benefits to all of ensuring equal and timely access to influenza vaccines in poor communities.
The benefits to all of ensuring equal and timely access to influenza vaccines in poor communities.
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DOI：
10.1377/hlthaff.2010.0778
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发表时间：
2011-06
期刊：
影响因子：
--
通讯作者：
Burke DS
中科院分区：
文献类型：
--
作者：
Lee BY;Brown ST;Bailey RR;Zimmerman RK;Potter MA;McGlone SM;Cooley PC;Grefenstette JJ;Zimmer SM;Wheaton WD;Quinn SC;Voorhees RE;Burke DS
当流感疫苗供不应求时，在不同司法管辖区之间公平分配疫苗可能是具有挑战性的。但是，正义并不是确保较贫穷的县与较富裕的县一样获得流感疫苗的唯一理由。使用华盛顿特区大都会地区的详细计算机模拟模型，我们发现，限制或推迟对较贫穷县的居民接种疫苗可能会增加整个地区流感感染的总数和在疫情高峰期每天新感染的人数--即使在获得更及时和更充足疫苗的较富裕县也是如此。在其他潜在原因中，较贫穷的县往往人口密度高，每个家庭有更多的儿童和其他高风险人群，导致更多的互动，既增加了流感的传播，也增加了出现更严重流感结果的风险。因此，全国各地的政策制定者，无论是贫穷地区还是富裕地区，都有动机确保较贫穷的居民能够平等地获得疫苗。
When influenza vaccines are in short supply, allocating vaccines equitably among different jurisdictions can be challenging. But justice is not the only reason to ensure that poorer counties have the same access to influenza vaccines as do wealthier ones. Using a detailed computer simulation model of the Washington, D.C., metropolitan region, we found that limiting or delaying vaccination of residents of poorer counties could raise the total number of influenza infections and the number of new infections per day at the peak of an epidemic throughout the region—even in the wealthier counties that had received more timely and abundant vaccine access. Among other underlying reasons, poorer counties tend to have high-density populations and more children and other higher-risk people per household, resulting in more interactions and both increased transmission of influenza and greater risk for worse influenza outcomes. Thus, policy makers across the country, in poor and wealthy areas alike, have an incentive to ensure that poorer residents have equal access to vaccines.
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DOI：
10.1073/pnas.0706849105
发表时间：
2008-03-25
影响因子：
11.1
作者：
Halloran, M. Elizabeth;Ferguson, Neil M.;Cooley, Philip
通讯作者：
Cooley, Philip
影响因子：
11.8
作者：
Jones, TF;Ingram, LA;Schaffner, W
通讯作者：
Schaffner, W
影响因子：
5.5
作者：
Lee, Bruce Y.;Bacon, Kristina M.;Zimmerman, Richard K.
通讯作者：
Zimmerman, Richard K.
影响因子：
5.5
作者：
Lee BY;Brown ST;Cooley PC;Zimmerman RK;Wheaton WD;Zimmer SM;Grefenstette JJ;Assi TM;Furphy TJ;Wagener DK;Burke DS
通讯作者：
Burke DS
影响因子：
2.7
作者：
James, Aimee S.;Hall, Sandra;Ahluwalia, Jasjit S.
通讯作者：
Ahluwalia, Jasjit S.