Paunio M, Virtanen M, Peltola H, Cantell K, Paunio P, Valle M, Karanko V, Heinonen O P
National Public Health Institute, Helsinki, Finland.
Am J Epidemiol. 1991 Jun 1;133(11):1152-60. doi: 10.1093/oxfordjournals.aje.a115827.
In the 1970s, mass vaccination projects were started in various parts of the world against measles and congenital rubella, with eradication as the final goal. In many developing and industrial countries, including Finland, the elimination of measles failed because of low vaccination coverage. In Finland, a combined measles, mumps, and rubella (Virivac) vaccination program was started in 1982. Computerized recording of the vaccinated children was considered necessary and was integrated with the population registry to identify the hard-to-reach families. Several interventions improved compliance: a mass media campaign and notification of nonvaccinated children to local health professionals and parents. All successive campaigns increased vaccination coverage significantly, with the notification of parents about their nonvaccinated child being especially effective. A vaccination coverage of over 96% was achieved, which theoretically prevents measles, mumps, and rubella transmission.
20世纪70年代，世界各地区启动了大规模疫苗接种项目，以防麻疹和先天性风疹，最终目标是根除这两种疾病。在包括芬兰在内的许多发展中国家和工业化国家，由于疫苗接种覆盖率低，麻疹消除计划失败。1982年，芬兰启动了麻疹、腮腺炎和风疹联合（维里瓦克）疫苗接种计划。对接种疫苗的儿童进行计算机记录被认为是必要的，并与人口登记系统相结合，以确定难以接触到的家庭。采取了多项干预措施来提高依从性：开展大众媒体宣传活动，并将未接种疫苗的儿童信息通知当地卫生专业人员和家长。所有后续活动都显著提高了疫苗接种覆盖率，向家长通报其未接种疫苗孩子的情况尤为有效。疫苗接种覆盖率达到了96%以上，从理论上讲可预防麻疹、腮腺炎和风疹的传播。
