Vionnet J, Hart K, Spertini F
Rev Med Suisse. 2014 Apr 16;10(426):869-72, 874-5.
Zostavax, a live attenuated vaccine against shingles (herpes zoster) has been available in Switzerland since 2008. In a population aged 60 and over, evidence suggests the vaccine effectively reduces the incidence of shingles and some of its corresponding complications. More importantly, in terms of public health, vaccination appears to reduce the burden of illness and be pharmaco-economically viable. Despite being part of the vaccination programmes in the United States and several European countries, the vaccine is not yet part of the Swiss vaccination programme. Should Switzerland follow suit by incorporating Zostavax into their vaccination policy?
自2008年以来,一种预防带状疱疹(herpes zoster)的减毒活疫苗“欣安立适”(Zostavax)在瑞士可供使用。在60岁及以上人群中,有证据表明该疫苗能有效降低带状疱疹及其一些相应并发症的发病率。更重要的是,从公共卫生角度来看,接种疫苗似乎能减轻疾病负担,并且在药物经济学上是可行的。尽管该疫苗已被纳入美国和几个欧洲国家的疫苗接种计划,但它尚未成为瑞士疫苗接种计划的一部分。瑞士是否应该效仿,将“欣安立适”纳入其疫苗接种政策呢?