王海明, 徐永范, 冯伟, 曹云生, 孙静, 夏颖苹. 1991 - 2007年浙江省奉化市新生儿普种乙型病毒性肝炎疫苗17年预防效果评估[J]. 疾病监测, 2010, 25(4): 275-278. DOI: 10.3784/j.issn.1003-9961.2010.04.009
引用本文: 王海明, 徐永范, 冯伟, 曹云生, 孙静, 夏颖苹. 1991 - 2007年浙江省奉化市新生儿普种乙型病毒性肝炎疫苗17年预防效果评估[J]. 疾病监测, 2010, 25(4): 275-278. DOI: 10.3784/j.issn.1003-9961.2010.04.009
WANG Hai-ming, XU Yong-fan, FENG Wei, CAO Yun-sheng, SUN Jing, XIA Ying-ping. Surveillance of the effects of preventing hepatitis B on the universal vaccination of newborns against hepatitis B in Fenghua in the past seventeen years[J]. Disease Surveillance, 2010, 25(4): 275-278. DOI: 10.3784/j.issn.1003-9961.2010.04.009
Citation: WANG Hai-ming, XU Yong-fan, FENG Wei, CAO Yun-sheng, SUN Jing, XIA Ying-ping. Surveillance of the effects of preventing hepatitis B on the universal vaccination of newborns against hepatitis B in Fenghua in the past seventeen years[J]. Disease Surveillance, 2010, 25(4): 275-278. DOI: 10.3784/j.issn.1003-9961.2010.04.009

1991 - 2007年浙江省奉化市新生儿普种乙型病毒性肝炎疫苗17年预防效果评估

Surveillance of the effects of preventing hepatitis B on the universal vaccination of newborns against hepatitis B in Fenghua in the past seventeen years

  • 摘要: 目的 分析浙江省奉化市新生儿接种乙型病毒性肝炎(乙肝)疫苗(HepB)17年后预防乙肝的效果。 方法 对1991 - 2007年奉化市乙肝疫情分为早期(1991-1993年)、中期(1994 - 2000年)和近期(2001 - 2007年)进行比较;以奉化市承担全国1992年(新生儿接种HepB刚开始2年)和2006年(儿童接种HepB已17年)二次乙肝血清学调查的乙肝病毒表面抗原(HBsAg)阳性率和乙肝病毒表面抗体(抗-HBs)阳性率进行比较。 结果 15岁以下儿童HBsAg阳性率和乙肝发病率分别下降89.49%和87.70%,1~4岁儿童抗-HBs阳性率上升1.05倍;1~4岁、5~9岁、10~14岁儿童乙肝发病率中期比早期分别下降85.00%、66.05%和30.20%,近期又比中期分别下降50.27%、73.64%和58.72%。 结论 新生儿接种HepB对降低HBsAg阳性率和乙肝发病率效果明显;为实现全国乙肝防治规划,建议对儿童进行HepB加强接种和对15~30岁青少年普种HepB。

     

    Abstract: Objective To evaluate the effectiveness of hepatitis B vaccination among newborns 17 years ago. Methods The data on epidemic of hepatitis B in Fenghua, categorized into the early period (1991-1993), the intermediate period (1994 - 2000) and the recent period (2001 - 2007), were comparatively studied. The positive rates of hepatitis B virus surface antigens (HBsAg) and surface antibodies (anti-HBs) in 1992, two years after the vaccination of newborns, and in 2006 after the passage of seventeen years since the vaccination, were compared. Results The HBsAg positive rate and incidence of hepatitis B dropped 89.49% and 87.70%, respectively, among children younger than 15 years. The anti-HBs positive rate increased 105% among children aged 1- 4 years. For children aged 1-4 years, 5-9 years and 10-14 years groups, the incidence rates of hepatitis B decreased by 85.00%, 66.05% and 30.20% in the intermediate period as compared to those in the early period, and decreased by 50.27%, 73.64% and 58.72% in the recent period as compared to those in the intermediate period. Conclusion The positive rates of HBsAg and incidence of hepatitis B had been significantly reduced due to universal vaccination for newborns against hepatitis B. Therefore, it is highly recommended to initiate booster inoculation against hepatitis for children and universal hepatitis B vaccination among youths aged 15-30 years clinging to the national planning of hepatitis B prevention and treatment.

     

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