Biomedical Research Centre, School of Medicine, Health Policy and Practice, University of East Anglia, Norwich, UK.
Zoonoses Public Health. 2011 Mar;58(2):126-30. doi: 10.1111/j.1863-2378.2009.01315.x.
Avian influenza is a highly infectious disease in poultry and although the risk of human infection is low, concerns exist that it could evolve into a new human strain of pandemic potential if reassortment with a human influenza virus occurs. In January 2007, the UK government introduced a programme to vaccinate poultry workers to reduce the potential of such an event. This study evaluates the delivery, uptake and costs of the programme in three counties of England. A questionnaire survey was completed by consultants in public health in all the Primary Care Trusts in Norfolk, Suffolk and Cambridgeshire in May 2007. The delivery of the programme varied between Primary Care Trusts, including being delivered in some cases by clinics in primary care, by general practitioners and occupational health services in others. The uptake of vaccination was low ranging from 7% to 29% at a cost of £29 to £132 per person vaccinated. Vaccination of poultry workers as a public health measure to prevent an influenza pandemic is likely to be ineffective with the level of coverage found in this evaluation in our region.
禽流感是一种在禽类中高度传染的疾病,尽管人类感染的风险较低,但人们担心如果与人类流感病毒重组,它可能会演变成一种具有大流行潜力的新型人类病毒株。2007 年 1 月,英国政府启动了一项为家禽养殖工人接种疫苗的计划,以降低此类事件发生的可能性。本研究评估了该计划在英格兰三个郡的实施、参与情况和成本。2007 年 5 月,通过诺福克、萨福克和剑桥郡所有初级保健信托的公共卫生顾问完成了一份问卷调查。该计划的实施在不同的初级保健信托机构之间存在差异,包括在某些情况下由初级保健诊所、全科医生和职业健康服务提供,而在其他情况下则由这些机构提供。疫苗接种的参与率很低,范围从 7%到 29%不等,每人接种的费用为 29 英镑至 132 英镑。在我们所在地区,评估发现,作为预防流感大流行的公共卫生措施,为家禽养殖工人接种疫苗可能效果不佳。