Communicable Disease Control Directorate, WA Health, Perth, WA, Australia.
Med J Aust. 2010 Oct 4;193(7):401-4. doi: 10.5694/j.1326-5377.2010.tb03969.x.
To assess pandemic (H1N1) 2009 influenza vaccination coverage in Western Australians, up to 31 January 2010.
DESIGN, SETTING AND PARTICIPANTS: Vaccination data for Western Australians aged 10 years and older were obtained from two sources: the WA Pandemic Influenza Vaccination Database (PIVD; which collected reports of pandemic influenza vaccinations from vaccination providers statewide) for the period 30 September 2009 to 31 January 2010, and the WA Health and Wellbeing Surveillance System (HWSS; a continuous population-based telephone survey) for the period 1 December 2009 to 31 January 2010. Data from the PIVD was used to input vaccination coverage estimates for at-risk subpopulations not assessed in the HWSS interviews.
Vaccination coverage of Western Australians aged 10 years and older and of subgroups targeted by the national pandemic (H1N1) 2009 influenza vaccination campaign.
A total of 171,789 pandemic influenza vaccinations were reported to the PIVD by 31 January 2010 and 88% of these were administered by 1 December 2009. Based on HWSS data, vaccination coverage of persons aged 10 years and older was 14.5% (95% CI, 12.6%-16.6%) and of persons aged 18 years and older was 15.3% (95% CI, 13.3%-17.6%). Based on PIVD data, coverage in adults ranged from 10.3% in pregnant women to 52.8% in health care workers.
Our estimate of pandemic influenza vaccination coverage in the adult population of WA is comparable to the national estimate of 19%, but it did not reach levels considered sufficient to interrupt community transmission. Future influenza vaccination programs should target groups at increased risk of severe influenza, such as pregnant women.
评估截至 2010 年 1 月 31 日澳大利亚西部大流行(H1N1)2009 流感疫苗接种覆盖率。
设计、设置和参与者:从两个来源获取了澳大利亚西部 10 岁及以上人群的疫苗接种数据:2009 年 9 月 30 日至 2010 年 1 月 31 日期间全州疫苗接种提供者报告的大流行流感疫苗接种情况的西澳大利亚大流行流感疫苗接种数据库(PIVD),以及 2009 年 12 月 1 日至 2010 年 1 月 31 日期间连续进行的基于人群的电话调查的西澳大利亚州健康与福利监测系统(HWSS)。使用 PIVD 中的数据来输入未在 HWSS 访谈中评估的高危亚人群的疫苗接种覆盖率估计数。
接种了大流行流感疫苗的 10 岁及以上的澳大利亚西部居民的接种率以及全国大流行(H1N1)2009 流感疫苗接种活动针对的亚组的接种率。
截至 2010 年 1 月 31 日,共向 PIVD 报告了 171789 例大流行流感疫苗接种,其中 88%是在 2009 年 12 月 1 日之前接种的。根据 HWSS 数据,10 岁及以上人群的疫苗接种率为 14.5%(95%CI,12.6%-16.6%),18 岁及以上人群的疫苗接种率为 15.3%(95%CI,13.3%-17.6%)。根据 PIVD 数据,成年人群中孕妇的疫苗接种率为 10.3%,医护人员的疫苗接种率为 52.8%。
我们对西澳大利亚州成年人口大流行性流感疫苗接种覆盖率的估计与全国 19%的估计值相当,但尚未达到足以中断社区传播的水平。未来的流感疫苗接种计划应针对孕妇等患严重流感风险较高的人群。