EpiReview: 1991-2011年新南威尔士州脑膜炎球菌病:与脑膜炎球菌C疫苗接种有关的趋势。

Erin Passmore, Mark J Ferson, Sean Tobin
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引用次数: 3

摘要

目的:回顾1991-2011年期间新南威尔士州侵袭性脑膜炎球菌病的流行病学,特别是自2003年引入脑膜炎球菌C疫苗接种计划以来。方法:对2003-2011年新南威尔士州侵袭性脑膜炎球菌病报告进行描述性分析,探讨1991-2011年侵袭性脑膜炎球菌病流行病学的长期变化。结果:2003-2011年期间,新南威尔士州有1009例侵袭性脑膜炎球菌病报告,平均年发病率为每10万人1.6例。通报率最高的是0-4岁和15-19岁年龄组(分别为每10万人8.5人和3.6人)。1991年至2011年期间,侵袭性脑膜炎球菌病通报率在1991年至2000年期间有所增加,2000年达到每10万人3.8例通报率的峰值。自那时以来,通报率已下降至2011年的每10万人1.0例,自2003年引入C型脑膜炎球菌疫苗接种规划以来,C血清群疾病的通报率最为显著。C型脑膜炎球菌通报从2002年的54例(每10万人0.8例)减少到2011年的2例(每10万人0.03例)。C型脑膜炎球菌死亡人数也有所减少,从2002年的9人降至2011年的零人。C型脑膜炎球菌通报减少最多的是1-19岁年龄组,即疫苗接种规划的目标群体。在研究期间,乙型脑膜炎球菌报告也有所减少,但乙型血清组仍然是新南威尔士州侵袭性脑膜炎球菌病的主要血清组。结论:自2000年以来,新南威尔士州侵袭性脑膜炎球菌病的通报率有所下降。自2003年引入C型脑膜炎球菌疫苗接种规划以来,血清C群疾病的发病率有所下降。新南威尔士州侵袭性脑膜炎球菌病的大部分负担现在是由于血清B群疾病。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
EpiReview: Meningococcal disease in NSW, 1991-2011: trends in relation to meningococcal C vaccination.

Aim: To review the epidemiology of invasive meningococcal disease in NSW for the period 1991-2011, in particular since the introduction of the meningococcal C vaccination program in 2003.

Methods: We undertook a descriptive analysis of NSW notifications of invasive meningococcal disease for the period 2003-2011, and explored long-term changes in the epidemiology of invasive meningococcal disease over the period 1991-2011.

Results: In the period 2003-2011, there were 1009 notifications of invasive meningococcal disease in NSW, an average annual rate of 1.6 per 100000 population. Notification rates were highest in the 0-4 and 15-19-year age groups (8.5 and 3.6 per 100000 population respectively). In the period 1991-2011, invasive meningococcal disease notifications increased between 1991 and 2000, peaking at 3.8 notifications per 100000 population in 2000. Notifications have decreased since that time to 1.0 per 100000 population in 2011, most markedly for serogroup C disease since the introduction of the meningococcal C vaccination program in 2003. Meningococcal C notifications reduced from 54 in 2002 (0.8 per 100000 population) to two in 2011 (0.03 per 100000 population). Meningococcal C deaths have also decreased, from nine in 2002 to zero in 2011. The greatest reduction in meningococcal C notifications has been in those aged 1-19 years, the target group for the vaccination program. Meningococcal B notifications have also decreased over the study period, however serogroup B remains the predominant serogroup for invasive meningococcal disease in NSW.

Conclusion: Notification rates of invasive meningococcal disease have decreased in NSW since 2000. Rates of serogroup C disease have decreased since the introduction of the meningococcal C vaccination program in 2003. Most of the burden of invasive meningococcal disease in NSW is now due to serogroup B disease.

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