Effect of universal varicella vaccination and behavioral changes against coronavirus disease 2019 pandemic on the incidence of herpes zoster.
Effect of universal varicella vaccination and behavioral changes against coronavirus disease 2019 pandemic on the incidence of herpes zoster.
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DOI：
10.1016/j.jdermsci.2021.10.007
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发表时间：
2021-12
影响因子：
4.6
通讯作者：
members of the Miyazaki Dermatologist Society
中科院分区：
文献类型：
--
作者：
Shiraki K;Toyama N;Tanaka K;Ito A;Yamamoto J;members of the Miyazaki Dermatologist Society
自2014年以来，普及水痘疫苗接种降低了疫苗接种者的水痘和带状疱疹（HZ）发病率，并增加了养育子女一代的发病率，直到2017年。本研究旨在了解水痘疫情消失后和2019年冠状病毒病（COVID-19）大流行期间HZ的未来流行病学趋势。宫崎皮肤科医师学会自1997年以来一直在监测和分析普及疫苗接种后HZ患者的发病率。随着水痘发病率的降低，0-4岁Oka水痘疫苗接种者的HZ发病率下降。5-9岁儿童的HZ发病率在2015年至2017年期间增加，此后下降。2014-2020年，10-19岁、20-29岁、30-39岁、40-49岁和50-59岁人群中HZ发生率持续增加，分别为36.6%、51.3%、70.2%、56.7%和27.3%。2014年至2020年，≥ 60岁患者的HZ发病率每年增加2.3%，相当于自1997年以来每年增加2%，并且不受水痘流行的影响。COVID-19感染控制措施、生活方式改变及由此产生的压力并未影响二零二零年的HZ发病率。普及水痘疫苗接种消除了水痘流行，疫苗接种者的HZ降低。与年龄≥ 60岁的人群相比，10-59岁人群的HZ发病率从2014年到2020年有所增加，这归因于该年龄组因水痘接触而导致的加强免疫失效。
Since 2014, universal varicella vaccination has reduced the varicella and herpes zoster (HZ) incidence in vaccine recipients and increased the incidence in the child-rearing generation until 2017. This study aimed to understand the future epidemiologic trends of HZ after the disappearance of varicella epidemics and during the coronavirus disease 2019 (COVID-19) pandemic. The Miyazaki Dermatologist Society has been monitoring and analyzing the incidence of HZ patients after universal vaccination since 1997. The HZ incidence in Oka varicella vaccine recipients aged 0–4 years decreased with the reduction in chickenpox incidence. The HZ incidence among those aged 5–9 years increased between 2015 and 2017 and decreased thereafter. From 2014–2020, the HZ incidence continued to increase to 36.6%, 51.3%, 70.2%, 56.7%, and 27.3% among those aged 10–19, 20–29, 30–39, 40–49, and 50–59 years, respectively. The HZ incidence in patients aged ≥ 60 years increased by 2.3% annually from 2014 to 2020, corresponding to an annual 2% increase since 1997, and was unaffected by varicella epidemics. COVID-19 infection control measures, lifestyle changes and the resulting stress did not affect the HZ incidence in 2020. Universal varicella vaccination eliminated varicella epidemics, and HZ was reduced in vaccine recipients. The HZ incidence for those aged 10–59 years increased from 2014 to 2020, in contrast to those aged ≥ 60 years, which is attributable to booster immunity expiration due to varicella contact in this age group.
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