Effectiveness of a mass hepatitis A vaccination program in preadolescents

被引:47
作者
Domínguez, A [1 ]
Salleras, L [1 ]
Carmona, G [1 ]
Batalla, J [1 ]
机构
[1] Generalitat Catalonia, Gen Dicectorate Publ Hlth, Dept Hlth & Social Secur, Barcelona 08028, Spain
关键词
hepatitis A plus B vaccine; effectiveness; hepatitis A incidence;
D O I
10.1016/S0264-410X(02)00583-2
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
A program of mass hepatitis A + B vaccination in preadolescents in schools was begun in the Catalonia in the last quarter of 1998. This study investigated the impact of the program by comparing the incidence of hepatitis A in vaccinated and unvaccinated cohort. The greatest reduction of the incidence rate of hepatitis A was observed in the 10-14 years age group, from 10.3 per 100,000 persons-year in the period 1996-1998 to 1.8 per 100,000 persons-year in the period 1999-2001. The global incidence decreased from 6.2 to 2.6 per 100,000 persons-year. After analysis of cases occurring in the vaccinated and non vaccinated cohort, the effectiveness of the vaccination program was estimated at 97.0% (95% Cl: 78.6-99.6). (C) 2002 Elsevier Science Ltd. All rights reserved.
引用
收藏
页码:698 / 701
页数:4
相关论文
共 14 条
[1]  
[Anonymous], MODERN INFECT DIS EP
[2]   Hepatitis A virus infections in the United States: Model-based estimates and implications for childhood immunization [J].
Armstrong, GL ;
Bell, BP .
PEDIATRICS, 2002, 109 (05) :839-845
[3]   Control of hepatitis A through routine vaccination of children [J].
Averhoff, F ;
Shapiro, CN ;
Bell, BP ;
Hyams, I ;
Burd, L ;
Deladisma, A ;
Simard, EP ;
Nalin, D ;
Kuter, B ;
Ward, C ;
Lundberg, M ;
Smith, N ;
Margolis, HS .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2001, 286 (23) :2968-2973
[4]  
BADER TF, 1995, VIRAL HEPATITIS PRAC
[5]   The cost of hepatitis A infections in American adolescents and adults in 1997 [J].
Berge, JJ ;
Drennan, DP ;
Jacobs, RJ ;
Jakins, A ;
Meyerhoff, AS ;
Stubblefield, W ;
Weinberg, M .
HEPATOLOGY, 2000, 31 (02) :469-473
[6]  
BRANCOFF WH, 1992, NEW ENGL J MED, V327, P448
[7]  
*CDC, 2001, MMWR-MORBID MORTAL W, V48, P84
[8]   Clinical course and consequences of hepatitis A infection [J].
Ciocca, M .
VACCINE, 2000, 18 :S71-S74
[9]  
*HLTH CAN, 2001, CAN COMMUN DIS REP, V2756, P110
[10]   PROTECTION AGAINST HEPATITIS-A BY AN INACTIVATED VACCINE [J].
INNIS, BL ;
SNITBHAN, R ;
KUNASOL, P ;
LAORAKPONGSE, T ;
POOPATANAKOOL, W ;
KOZIK, CA ;
SUNTAYAKORN, S ;
SUKNUNTAPONG, T ;
SAFARY, A ;
TANG, DB ;
BOSLEGO, JW .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1994, 271 (17) :1328-1334