Nakayama Tetsuo
Laboratory of Viral Infection, Kitasato Institute for Life Sciences.
Nihon Rinsho. 2008 Oct;66(10):1851-7.
An outbreak of adult measles in 2007 in Japan revealed the poor immunization strategy that active implementation has not been conducted for fear of prosecution in vaccine adverse events. After 2000, many amendments in immunization law were promulgated but did not always provide a favorable circumstance for immunization schedule. Especially, the discontinuation of recommendation of Japanese encephalitis vaccine was decided soon after the occurrence of serious neurological adverse event and seemed a big fault for the prevention of illness in a long run. These are liable to cause misunderstanding for shirking the responsibilities. Advisory Committee on Immunization Practices (ACIP) was organized to discuss and consider the future immunization strategy in many countries besides USA. In Japan, we should organize the steering committee to manage the immunization law with flexibility in order to cope with the infectious diseases.
2007年日本爆发成人麻疹疫情，暴露出免疫策略不佳的问题，即由于担心疫苗不良事件被起诉而未积极实施免疫接种。2000年以后，免疫法多次修订，但并不总是为免疫接种计划提供有利环境。特别是，日本脑炎疫苗的推荐在严重神经不良事件发生后不久就被取消，从长远来看，这似乎是预防疾病方面的一大失误。这些情况容易引发逃避责任的误解。除美国外，许多国家都成立了免疫实践咨询委员会（ACIP）来讨论和考虑未来的免疫策略。在日本，我们应该组建指导委员会，灵活管理免疫法，以应对传染病。
