Fischer D, Beyer von Voigt T, Bontemps M
Gesundheitsamt Stuttgart.
Offentl Gesundheitswes. 1991 Apr;53(4):161-2.
Experience has shown that mass vaccination of pre-puberty girls against rubella (German measles), as recommended in accordance with German legislation and performed by the Public Health authorities, is unnecessary in about three-quarters of all the girls. Besides, only relatively few girls report for such vaccination. It became possible to carry out on-target vaccination by conducting first of all a serological preliminary test with capillary blood. This pin-pointed those pupils who were likely to be susceptible to rubella infection. After the vaccination, this method enabled re-checking by means of a further antibody test. All the pupils who had been successfully vaccinated or were already satisfactorily protected, were issued a certificate to that effect. In our opinion, the increased material and personnel expenditure of such on-target vaccination is justified by the fact that the rate of participation on the part of the pupils is markedly higher, so that vaccination becomes more meaningful than before.
经验表明,按照德国法律建议并由公共卫生当局实施的针对青春期前女孩的风疹(德国麻疹)大规模疫苗接种,在大约四分之三的女孩中是不必要的。此外,只有相对较少的女孩前来接种此类疫苗。通过首先用毛细血管血进行血清学初步检测,得以进行有针对性的疫苗接种。这确定了那些可能易患风疹感染的学生。接种疫苗后,这种方法能够通过进一步的抗体检测进行复查。所有成功接种疫苗或已有充分保护的学生都获得了相应的证明。我们认为,这种有针对性的疫苗接种虽然增加了物质和人员方面的支出,但由于学生的参与率显著提高,使得疫苗接种比以前更有意义,所以这种支出是合理的。