Lapeyssonnie L, Omer I A, Nicolas A, Roumiantzeff M
Med Trop (Mars). 1979 Jan-Feb;39(1):71-9.
The authors first emphasize the efficiency and economic value of associated immunizations in developping countries. They report the first data collected in a campaign of immunization with a single injection of an extemporaneous mixture of antimeasles, antitetanus and antimeningococcal meningitis vaccines. This campaign took place in the Republic of Suddan from may 1976 to july 1977 and concerned 87 children. The specifications of each vaccine as well as the procedures of vaccination and serological control are given. The study of serological rates shows: -- a good response for measles with, in Africa, an optimal âge of 6 months and a new injection 6 months later; -- a low and late antibodies rise in tetanus with a good immunological memory giving way to an acute rise under a 2nd injection one year later; -- an immediate increase of the basic low rate of meningococcic antibodies existing in most Suddanese children before the injection. The authors consider the advantage of using also anti C meningococcal vaccine and to add an inactivated poliomyelitic vaccine. They give notice of the good stability in tropical environment of the vaccinal mixture they used.
作者首先强调了联合免疫接种在发展中国家的效率和经济价值。他们报告了在一次免疫接种活动中收集的首批数据,该活动使用了一剂即配的抗麻疹、抗破伤风和抗脑膜炎球菌性脑膜炎疫苗混合物。此次活动于1976年5月至1977年7月在苏丹共和国开展,涉及87名儿童。文中给出了每种疫苗的规格以及接种程序和血清学检测方法。血清学率的研究表明:——对于麻疹疫苗反应良好,在非洲,最佳接种年龄为6个月,6个月后需再次接种;——破伤风抗体升高缓慢且出现较晚,但免疫记忆良好,在一年后第二次接种时会出现急性升高;——接种前大多数苏丹儿童中存在的脑膜炎球菌抗体基础水平较低,接种后立即升高。作者认为同时使用抗C群脑膜炎球菌疫苗以及添加灭活脊髓灰质炎疫苗具有优势。他们还通报了所使用的疫苗混合物在热带环境中的良好稳定性。