[Analysis on epidemiological and serum effect after vaccination of hepatitis A vaccine (HepA)].

中国疫苗和免疫 Pub Date : 2010-06-01
Jian-ping Li, Zhi-xia Gao, Jian Zhou
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Abstract

Objective: To implement HepA vaccination and analyze epidemiological and serum effect.

Methods: The children from 1 to 14 years old were vaccinated HepA since 1992 and the HepA has been integrated into EPI to the children aged 1 year in 1996. The enzyme linked immunnosortbent assay (ELISA) was used to detect Anti-Hepatitis A Virus IgG Antibody (Anti-HAV) to analyze serum effect.

Result: HepA coverage rate from 1 to 14 years old was 80% in 1998, and it was > 90% after the year of 2001. The coverage of 1 year old children was 95%. The incidence rate of Hepatitis A reduced continuously. The incidence of whole population reduced from 25.96/100.000 in 1992 to 6.38/100.000 in 1994. In 2007, the incidence of Heptitis A decreased 98.10% compared with the incidence of the year of 1992. Epidemiological feature of Hepatitis A was changed. The positive rate of Anti-HAV was increased after vaccination of Hepatitis A Vaccine.

Conclusion: The vaccination strategy for 1 to 14 years old had obviously epidemiological and serum effect.

甲型肝炎疫苗(HepA)接种后流行病学及血清效果分析。
目的:实施HepA疫苗接种,分析流行病学和血清效果。方法:1992年开始接种1 ~ 14岁儿童HepA疫苗,1996年将HepA纳入1岁儿童免疫计划。采用酶联免疫吸附试验(ELISA)检测抗甲型肝炎病毒IgG抗体(Anti-HAV),分析血清效果。结果:1998年1 ~ 14岁儿童HepA覆盖率为80%,2001年以后达到90%以上。1岁儿童覆盖率为95%。甲肝发病率持续下降。总人口发病率由1992年的25.96/100.000下降到1994年的6.38/100.000。2007年A型肝炎的发病率比1992年下降了98.10%。改变了甲型肝炎的流行病学特征。接种甲型肝炎疫苗后,抗hav阳性率明显升高。结论:1 ~ 14岁接种策略具有明显的流行病学和血清效果。
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