MMWR Morb Mortal Wkly Rep. 2010 Jan 22;59(2):44-8.
In July 2009, the Advisory Committee on Immunization Practices (ACIP) issued recommendations for use of the influenza A (H1N1) 2009 monovalent vaccine. Recognizing that the vaccine supply would not be ample immediately but would grow over time, ACIP identified 1) initial target groups, consisting of approximately 160 million persons, and 2) a limited vaccine subset of the target groups, initially estimated at 42 million persons (and more recently estimated at 62 million persons), to receive first priority while the 2009 H1N1 vaccine supply was limited. ACIP recommended expanding vaccination to the rest of the population as vaccine supplies increased. To estimate 2009 H1N1 vaccination coverage to date for the 2009--10 influenza season, CDC analyzed results from the National 2009 H1N1 Flu Survey (NHFS) and the Behavioral Risk Factor Surveillance System (BRFSS) survey, conducted during December 27, 2009-January 2, 2010, and December 1-27, 2009, respectively. The results indicated that, as of January 2, an estimated 20.3% of the U.S. population (61 million persons) had been vaccinated, including 27.9% of persons in the initial target groups and 37.5% of those in the limited vaccine subset. An estimated 29.4% of U.S. children aged 6 months--18 years had been vaccinated. Now that an ample supply of 2009 H1N1 vaccine is available, efforts should continue to increase vaccination coverage among persons in the initial target groups and to offer vaccination to the rest of the U.S. population, including those aged >or=65 years.
2009 年 7 月,免疫实践咨询委员会(ACIP)发布了使用 2009 年甲型 H1N1 流感单价疫苗的建议。认识到疫苗供应不会立即充足,但随着时间的推移会逐渐增加,ACIP 确定了 1)最初的目标人群,约为 1.6 亿人,2)目标人群中的有限疫苗亚组,最初估计为 4200 万人(最近估计为 6200 万人),在 2009 年 H1N1 疫苗供应有限的情况下优先接种。ACIP 建议随着疫苗供应的增加,将疫苗接种扩大到其余人群。为了估计 2009 年至 2010 年流感季节迄今的 2009 年 H1N1 疫苗接种覆盖率,CDC 分析了 2009 年全国 H1N1 流感调查(NHFS)和行为危险因素监测系统(BRFSS)调查的结果,分别于 2009 年 12 月 27 日至 2010 年 1 月 2 日和 2009 年 12 月 1 日至 12 月 27 日进行。结果表明,截至 1 月 2 日,估计有 20.3%的美国人口(6100 万人)接种了疫苗,其中包括最初目标人群的 27.9%和有限疫苗亚组的 37.5%。估计有 29.4%的美国 6 个月至 18 岁儿童接种了疫苗。现在有充足的 2009 年 H1N1 疫苗供应,应继续努力提高初始目标人群的疫苗接种覆盖率,并向美国其他人群提供疫苗接种,包括年龄大于或等于 65 岁的人群。
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