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2008-2009 年欧盟、挪威和冰岛国家流感疫苗接种政策的差异。

Differences in national influenza vaccination policies across the European Union, Norway and Iceland 2008-2009.

机构信息

Health Protection Surveillance Centre, Dublin, Ireland.

出版信息

Euro Surveill. 2010 Nov 4;15(44):19700. doi: 10.2807/ese.15.44.19700-en.

DOI:10.2807/ese.15.44.19700-en
PMID:21087586
Abstract

In 2009 the second cross-sectional web-based survey was undertaken by the Vaccine European New Integrated Collaboration Effort (VENICE) project across 27 European Union (EU) member states (MS), Norway and Iceland (n=29) to determine changes in official national seasonal influenza vaccination policies since a survey undertaken in 2008 and to compare the estimates of vaccination coverage between countries using data obtained from both surveys. Of 27 responding countries, all recommended vaccination against seasonal influenza to the older adult population. Six countries recommended vaccination of children aged between six months and <18 years old. Most countries recommended influenza vaccination for those individuals with chronic medical conditions. Recommendations for vaccination of healthcare workers (HCW) in various settings existed in most, but not all countries. Staff in hospitals and long-term care facilities were recommended vaccination in 23 countries, and staff in out-patient clinics in 22 countries. In the 2009 survey, the reported national estimates on vaccine coverage varied by country and risk group, ranging from 1.1% - 82.6% for the older adult population; to between 32.9% -71.7% for clinical risk groups; and from 13.4% -89.4% for HCW. Many countries that recommend the influenza vaccination do not monitor the coverage in risk groups. In 2008 and 2009 most countries recommended influenza vaccination for the main risk groups. However, despite general consensus and recommendations for vaccination of high risk groups, many countries do not achieve high coverage in these groups. The reported vaccination coverage still needs to be improved in order to achieve EU and World Health Organization goals.

摘要

2009 年,疫苗欧洲新综合合作努力(VENICE)项目在 27 个欧盟(EU)成员国、挪威和冰岛(n=29)进行了第二次横断面网络调查,以确定自 2008 年调查以来官方国家季节性流感疫苗接种政策的变化,并使用来自两次调查的数据比较各国的疫苗接种率估计值。在 27 个做出回应的国家中,所有国家都建议为老年人接种季节性流感疫苗。6 个国家建议为 6 个月至<18 岁的儿童接种疫苗。大多数国家建议为有慢性疾病的人接种流感疫苗。在大多数但不是所有国家中,都存在对各种环境中卫生保健工作者(HCW)接种疫苗的建议。23 个国家建议在医院和长期护理机构中为工作人员接种疫苗,22 个国家建议在门诊诊所为工作人员接种疫苗。在 2009 年的调查中,报告的国家疫苗覆盖率估计值因国家和风险群体而异,老年人为 1.1%-82.6%;临床风险群体为 32.9%-71.7%;卫生保健工作者为 13.4%-89.4%。许多建议接种流感疫苗的国家并不监测风险群体的覆盖率。2008 年和 2009 年,大多数国家建议为主要风险群体接种流感疫苗。然而,尽管对高风险群体普遍达成共识并建议接种疫苗,但许多国家并未在这些群体中实现高覆盖率。为了实现欧盟和世界卫生组织的目标,报告的疫苗接种覆盖率仍有待提高。

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