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婴儿死亡率与常规接种疫苗剂量的关系:是否存在生化或协同毒性?

Infant mortality rates regressed against number of vaccine doses routinely given: is there a biochemical or synergistic toxicity?

机构信息

Think Twice Global Vaccine Institute, USA.

出版信息

Hum Exp Toxicol. 2011 Sep;30(9):1420-8. doi: 10.1177/0960327111407644. Epub 2011 May 4.

Abstract

The infant mortality rate (IMR) is one of the most important indicators of the socio-economic well-being and public health conditions of a country. The US childhood immunization schedule specifies 26 vaccine doses for infants aged less than 1 year--the most in the world--yet 33 nations have lower IMRs. Using linear regression, the immunization schedules of these 34 nations were examined and a correlation coefficient of r = 0.70 (p < 0.0001) was found between IMRs and the number of vaccine doses routinely given to infants. Nations were also grouped into five different vaccine dose ranges: 12-14, 15-17, 18-20, 21-23, and 24-26. The mean IMRs of all nations within each group were then calculated. Linear regression analysis of unweighted mean IMRs showed a high statistically significant correlation between increasing number of vaccine doses and increasing infant mortality rates, with r = 0.992 (p = 0.0009). Using the Tukey-Kramer test, statistically significant differences in mean IMRs were found between nations giving 12-14 vaccine doses and those giving 21-23, and 24-26 doses. A closer inspection of correlations between vaccine doses, biochemical or synergistic toxicity, and IMRs is essential.

摘要

婴儿死亡率 (IMR) 是衡量一个国家社会经济福祉和公共卫生状况的最重要指标之一。美国儿童免疫接种计划为不满 1 岁的婴儿规定了 26 剂疫苗——全球最多——然而,有 33 个国家的婴儿死亡率更低。通过线性回归,检查了这 34 个国家的免疫接种计划,发现 IMR 与常规给予婴儿的疫苗剂量数之间存在相关系数 r = 0.70(p < 0.0001)。这些国家还分为五个不同的疫苗剂量范围:12-14、15-17、18-20、21-23 和 24-26。然后计算每个组内所有国家的平均 IMR。对未加权平均 IMR 的线性回归分析显示,疫苗剂量的增加与婴儿死亡率的增加之间存在高度统计学显著相关性,r = 0.992(p = 0.0009)。使用 Tukey-Kramer 检验,发现给予 12-14 剂疫苗的国家与给予 21-23 剂和 24-26 剂的国家之间的平均 IMR 存在统计学显著差异。对疫苗剂量、生化或协同毒性与 IMR 之间的相关性进行更仔细的检查至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9956/3170075/9d5f0707dab2/10.1177_0960327111407644-fig1.jpg

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