Noakes K, Salisbury D
Department of Health, London, UK.
Curr Top Microbiol Immunol. 2006;304:53-70. doi: 10.1007/3-540-36583-4_4.
A mass immunization campaign is a rapid vaccination intervention across age groups as opposed to provision through routine vaccination at a specified age attainment. Some countries use campaigns routinely as they have experience that shows that in their health systems higher coverage can be reached through campaigns than by routine service provision. Whilst many industrialized and non-industrialized countries have introduced new vaccines into their routine programme, the UK is unusual in deliberately doing this via campaigns. A number of mass immunization campaigns have been implemented in the UK, either integrated into the routine immunization programme such as the annual influenza immunization campaign; as a catch-up campaign alongside the introduction of a new vaccine into the routine vaccination schedule (MMR, Haemophilus influenzae b, Meningococcal C conjugate vaccine); or as a one-off campaign, to boost immunity in a particular age group, without introducing the vaccination into the schedule routinely at that age (Haemophilus influenzae b). Campaigns require intense planning at national and local level with leadership to achieve proper management. Although the components of an immunization campaign can be described separately--strategic planning, vaccine supply, communication and surveillance; for a programme to be successful integrated planning is essential.
大规模免疫接种运动是针对所有年龄组的快速疫苗接种干预措施,与在特定年龄通过常规疫苗接种提供服务不同。一些国家经常开展此类运动,因为他们的经验表明,在其卫生系统中,通过运动能够比通过常规服务提供实现更高的覆盖率。虽然许多工业化国家和非工业化国家已将新疫苗纳入其常规计划,但英国却与众不同,它特意通过运动来引入新疫苗。英国已开展了多项大规模免疫接种运动,有的融入常规免疫计划,如年度流感免疫接种运动;有的是在将新疫苗引入常规疫苗接种时间表(麻疹、腮腺炎、风疹联合疫苗、b型流感嗜血杆菌疫苗、C群脑膜炎球菌结合疫苗)时作为补种运动;还有的是一次性运动,旨在提高特定年龄组的免疫力,而不将该疫苗常规纳入该年龄的接种时间表(b型流感嗜血杆菌疫苗)。开展运动需要在国家和地方层面进行精心规划并发挥领导作用,以实现妥善管理。虽然免疫接种运动的各个组成部分可以分别描述——战略规划、疫苗供应、宣传和监测;但要使计划取得成功,综合规划至关重要。