Protecting the Community Through Child Vaccination

被引:37
作者
Anderson, Evan J. [1 ,2 ]
Daugherty, Michael A. [1 ,3 ]
Pickering, Larry K. [1 ]
Orenstein, Walter A. [2 ,3 ]
Yogev, Ram [4 ]
机构
[1] Emory Univ, Sch Med, Dept Pediat, Atlanta, GA USA
[2] Emory Univ, Sch Med, Dept Med, Atlanta, GA USA
[3] Emory Univ, Rollins Sch Publ Hlth, Atlanta, GA 30322 USA
[4] Northwestern Univ, Dept Pediat, Feinberg Sch Med, Chicago, IL 60611 USA
关键词
indirect effect; herd; immunity; indirect; effect; INVASIVE PNEUMOCOCCAL DISEASE; AGED; 19-35; MONTHS; B HIB DISEASE; UNITED-STATES; CONJUGATE VACCINE; GASTROENTERITIS HOSPITALIZATIONS; HUMAN-PAPILLOMAVIRUS; ROTAVIRUS; INFLUENZA; IMMUNIZATION;
D O I
10.1093/cid/ciy142
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
The direct impact of vaccines on children is well described, but the major public health impact of indirect protection provided to the community by vaccines is underappreciated. Community protection occurs when vaccinated persons block the chain of transmission, protecting undervaccinated or unvaccinated susceptible community members by preventing exposure and limiting the spread of the pathogen through the community. Substantial declines in disease incidence have occurred shortly after implementing new childhood vaccines, including declines among vaccine-ineligible children, adolescents, and adults. Protection of susceptible community members depends on maintaining high vaccination rates. Improved recognition of community protection will strengthen childhood vaccination strategies that will protect our communities into the future.
引用
收藏
页码:464 / 471
页数:8
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