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[波兰脊髓灰质炎的预防与控制问题]

[Problems of prevention and control of poliomyelitis in Poland].

作者信息

Mazurowska-Magdzik Wiesława, Bucholc Bozenna, Janaszek-Seydlitz Wiesława, Szkoda Tomasz, Magdzik Wiesław

机构信息

Lecznica Fundacji "Zdrowie" w Warszawie.

出版信息

Przegl Epidemiol. 2010;64(3):341-7.

Abstract

In the fifties and the sixties of 20th century big epidemic and increasing numbers of poliomyelitis cases were observed in Poland as well in other countries of Europe and world. Inactivated Salk's vaccine in injections as well as oral attenuated vaccine were introduced to the control and prevention of this disease. As the result of it poliomyelitis was eradicated in American, European and of West Pacific Region of WHO. Since 1984 poliomyelitis cases were not registered in Poland, VAPP were observed in small numbers. Just now new vaccines with poliomyelitis component as Boostrix Polio and Adacel Polio are convenient to use as booster doses of poliomyelitis vaccine. Actually inactivated polio vaccine is used in majority of west European countries, USA, Canada, Australia. Inactivated vaccine in basic and attenuated vaccine in booster doses were used in Central and East European countries and only attenuated vaccine are used in big African, South and Central American countries, China, India and countries, witch were the part of past Soviet Union.

摘要

在20世纪五六十年代,波兰以及欧洲和世界其他国家都出现了大规模疫情,脊髓灰质炎病例不断增加。用于控制和预防这种疾病的有注射用的灭活索尔克疫苗以及口服减毒疫苗。由于这些措施,脊髓灰质炎在美国、欧洲以及世界卫生组织西太平洋区域被根除。自1984年以来,波兰未再记录到脊髓灰质炎病例,仅观察到少量疫苗相关麻痹型脊髓灰质炎病例。目前,含有脊髓灰质炎成分的新疫苗如百白破-脊髓灰质炎疫苗(Boostrix Polio)和白喉破伤风-脊髓灰质炎疫苗(Adacel Polio)可方便地用作脊髓灰质炎疫苗的加强剂量。实际上,大多数西欧国家、美国、加拿大、澳大利亚使用的是灭活脊髓灰质炎疫苗。中东欧国家在基础免疫中使用灭活疫苗,在加强剂量中使用减毒疫苗,而在非洲大部分国家、南美洲和中美洲国家、中国、印度以及曾是苏联一部分的国家则仅使用减毒疫苗。

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