Measles vaccine coverage and series completion among children 0-8 years of age in Tianjin, China.
Measles vaccine coverage and series completion among children 0-8 years of age in Tianjin, China.
复制标题
麻疹疫苗的覆盖范围和系列完成的儿童在中国天津，年龄为0-8岁。
DOI：
10.1097/inf.0000000000000562
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发表时间：
2015-03
期刊：
影响因子：
--
通讯作者：
Boulton ML
中科院分区：
文献类型：
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作者：
Montgomery JP;Zhang Y;Carlson B;Ewing S;Wang X;Boulton ML
世界卫生组织(WHO)将中国的目标定为在2012年消除麻疹。虽然中国取得了重大进展，但传播仍在继续，有理由对中国的麻疹疫苗接种计划进行检查。世界卫生组织建议儿童至少接种两剂含有麻疹的疫苗(MCV)以确保保护。在天津的中国，MCV分三种剂量：8个月(MV)、18-24个月(MMR-1)和5年(MMR-2)。MMR-2很重要，因为接受MV治疗的年龄较小。中国，这项研究描述了妇幼保健服务的覆盖面，评估了管理的及时性，并评估了天津市儿童妇幼保健服务系列的完成情况。2012年7月，从天津市免疫信息管理系统中选取免疫记录。记录是从2004年到2011年出生的，年龄在8个月或以上。描述性统计描述了研究人群的特征，并评估了每个MCV剂量的及时性和覆盖率。我们查阅了居住在天津的205,982名儿童的记录，中国。在适合接种每种疫苗的儿童中，98.6%接种了MV，97.6%接种了MMR-1，76.9%接种了MMR-2。在达到接种MMR-2的年龄的儿童中，78.8%的儿童接种了完整系列疫苗，71.6%的儿童在6岁前完全接种了麻疹疫苗。天津市MV和MMR-1接种率较高，MMR-2水平较低。大多数完成这一系列活动的孩子都按时完成了。保持MV和MMR-1的高复盖率和适时接种，增加MMR-2的复盖率，是中国实现全国消除麻疹目标的需要。
The World Health Organization (WHO) targeted China for measles elimination by 2012. While China made significant progress, transmission continues, warranting examination of China's measles vaccination program. The WHO recommends that children receive at least two doses of a measles containing vaccine (MCV) to ensure protection. In Tianjin, China, MCV is given in three doses; 8 months (MV), 18-24 months (MMR-1), and 5 years (MMR-2). MMR-2 is important because of the young age for MV administration. This study describes MCV coverage, assesses administration timeliness, and evaluates completion of the MCV series for children living in Tianjin, China. In July 2012, immunization records were selected from Tianjin's Immunization Information Management System. Records were abstracted for children born from 2004 to 2011, who were age 8 months or older. Descriptive statistics characterized the study population and assessed timeliness and coverage for each MCV dose. We examined records of 205,982 children living in Tianjin, China. Among children who were age-appropriate for each vaccine, 98.6% received MV, 97.6% received MMR-1, and 76.9% received MMR-2. Of the children who were old enough to receive MMR-2, 78.8% received the complete series, and 71.6% of children were fully immunized for measles by age 6. Tianjin has high rates of MV and MMR-1 coverage, with lower levels for MMR-2. Most children who completed the series did so on-time. Maintaining high coverage and timely administration of MV and MMR-1 and increasing coverage of MMR-2 are necessary for China to attain the goal of national measles elimination.