Bós Angelo José Gonçalves, Mirandola Andrea Ribeiro
Instituto de Geriatria e Gerontologia, Pontifícia Universidade Católica do Rio Grande do Sul, Porto Alegre, RS, 90610-000.
Cien Saude Colet. 2013 May;18(5):1459-62.
Respiratory infections are a group of diseases commonly related to the elderly, since the influenza virus is one of the main etiological agents. Vaccination of these individuals is considered by the World Health Organization to be the most effective strategy to reduce morbidity and mortality from the disease. Brazil has sought in recent years to vaccinate 80% of the target population. This study sought to relate the vaccination coverage for influenza and the mortality rate from respiratory diseases in the elderly. This was a cross-sectional study with secondary data analysis. Data on vaccination coverage in 2010 of the 496 municipalities of the elderly in Rio Grande do Sul were obtained from the website of the National Immunization Program and mortality in the Mortality Information System. The results showed that 49% of municipalities reached the target of 80% of seniors vaccinated. In municipalities with below target vaccination coverage, the number of deaths was 5.2 per 1,000 elderly. This average is significantly higher than in municipalities with coverage equal to or above 80%. The conclusion is that the target proposed by the Brazilian Ministry of Health to vaccinate 80% or more of the elderly is effective in reducing mortality from respiratory diseases.
呼吸道感染是一组通常与老年人相关的疾病,因为流感病毒是主要病原体之一。世界卫生组织认为,为这些人群接种疫苗是降低该疾病发病率和死亡率的最有效策略。巴西近年来一直致力于为80%的目标人群接种疫苗。本研究旨在探讨老年人流感疫苗接种覆盖率与呼吸道疾病死亡率之间的关系。这是一项采用二次数据分析的横断面研究。南里奥格兰德州496个市2010年老年人疫苗接种覆盖率数据来自国家免疫规划网站,死亡率数据来自死亡信息系统。结果显示,49%的市达到了80%老年人接种疫苗的目标。在疫苗接种覆盖率未达目标的市,每1000名老年人中的死亡人数为5.2人。这一平均数显著高于覆盖率等于或高于80%的市。结论是,巴西卫生部提出的为80%及以上老年人接种疫苗的目标在降低呼吸道疾病死亡率方面是有效的。