Ali H Y M
Department of Microbiology and Immunology, College of Medicine, University of Mosul, Ninevah, Iraq.
East Mediterr Health J. 2004 Jan-Mar;10(1-2):6-11.
Effect of sanctions on hepatitis B vaccine availability and occurrence of viral hepatitis B among Iraqi children was studied. Between June 2000 and June 2001, families of patients attending the Public Health Laboratory, Mosul, for hepatitis B follow-up were screened. Enzyme-linked immunosorbent assay was used to test for HBsAg, HBeAg and anti-HBe. We diagnosed 74 children born 1994-1998 as HBsAg carriers. For 62 of 74 cases, parents had consulted vaccine centres promptly: 41 were not vaccinated and 21 had only one vaccine dose. HBeAg marker was positive for 9 (14.5%) and anti-HBe for 50 (80.7%). Parental reluctance was the reason for non-vaccination for 12. Vaccine shortages during the birth years of cases were documented, even after implementation of United Nations Security Council Resolution 986.
研究了制裁对伊拉克儿童乙肝疫苗供应及乙肝病毒感染发生率的影响。2000年6月至2001年6月期间，对前往摩苏尔公共卫生实验室进行乙肝随访的患者家庭进行了筛查。采用酶联免疫吸附试验检测乙肝表面抗原（HBsAg）、乙肝e抗原（HBeAg）和乙肝e抗体（抗-HBe）。我们诊断出74名1994年至1998年出生的儿童为HBsAg携带者。在74例病例中，有62例的家长曾及时咨询过疫苗接种中心：41例未接种疫苗，21例仅接种了一剂疫苗。9例（14.5%）HBeAg标志物呈阳性，50例（80.7%）抗-HBe呈阳性。12例未接种疫苗的原因是家长不情愿。即使在联合国安理会第986号决议实施后，仍记录到病例出生年份期间存在疫苗短缺的情况。
