Joseph Carol, Goddard Nichola
PHLS Communicable Disease Surveillance Centre, 61 Colindale Avenue, London NW9 5EQ, UK.
Vaccine. 2003 Mar 7;21(11-12):1137-48. doi: 10.1016/s0264-410x(02)00505-4.
Immunisation against influenza is an important means of reducing morbidity and mortality amongst high-risk groups, and especially the elderly. Although immunisation has been recommended for these groups for many years, no timely or comprehensive monitoring at the national level was carried out in England before the beginning of this century. Annual numbers of doses administered were available, but not to whom they were given. This paper describes the results of a national rapid reporting scheme for England that was introduced by the Department of Health (DH) and PHLS Communicable Disease Surveillance Centre (CDSC). The scheme collected monthly data on influenza immunisation uptake among people aged 65 or more during the winters of 2000/2001 and 2001/2002. Results showed that DH annual targets of 60 and 65%, respectively were both met, although considerable variation occurred at the local levels. The feasibility of this method of monitoring immunisation uptake in the elderly is discussed.
流感免疫接种是降低高危人群尤其是老年人发病率和死亡率的重要手段。尽管多年来一直建议为这些人群接种疫苗,但在本世纪初之前,英格兰未在国家层面进行及时、全面的监测。每年接种的剂量数量是已知的,但不清楚接种对象是谁。本文描述了由卫生部(DH)和公共卫生实验室服务处传染病监测中心(CDSC)引入的一项针对英格兰的国家快速报告计划的结果。该计划收集了2000/2001年和2001/2002年冬季65岁及以上人群流感免疫接种情况的月度数据。结果显示,卫生部设定的分别为60%和65%的年度目标均已实现,尽管地方层面存在相当大的差异。本文还讨论了这种监测老年人免疫接种情况方法的可行性。