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
    Armstrong, GL
    Bell, BP
    [J]. PEDIATRICS, 2002, 109 (05) : 839 - 845
  • [3] Control of hepatitis A through routine vaccination of children
    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
    [J]. 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
    Berge, JJ
    Drennan, DP
    Jacobs, RJ
    Jakins, A
    Meyerhoff, AS
    Stubblefield, W
    Weinberg, M
    [J]. 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
    Ciocca, M
    [J]. VACCINE, 2000, 18 : S71 - S74
  • [9] *HLTH CAN, 2001, CAN COMMUN DIS REP, V2756, P110
  • [10] PROTECTION AGAINST HEPATITIS-A BY AN INACTIVATED VACCINE
    INNIS, BL
    SNITBHAN, R
    KUNASOL, P
    LAORAKPONGSE, T
    POOPATANAKOOL, W
    KOZIK, CA
    SUNTAYAKORN, S
    SUKNUNTAPONG, T
    SAFARY, A
    TANG, DB
    BOSLEGO, JW
    [J]. JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1994, 271 (17): : 1328 - 1334