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2013年波兰的腮腺炎疫情

Mumps in Poland in 2013.

作者信息

Korczyńska Monika Roberta, Rogalska Justyna

机构信息

Department of Epidemiology, National Institute of Public Health - National Institute of Hygiene in Warsaw.

出版信息

Przegl Epidemiol. 2015;69(2):209-12, 339-40.

Abstract

BACKGROUND

Vaccination against mumps from 2003 is mandatory in Poland and given as two dose scheme with MMR vaccine (mumps, measles, and rubella). Earlier this vaccination was only recommended. Despite observed decline in mumps incidence for over a decade which is a result of conducted vaccinations, mumps is still a common childhood disease.

AIM

To assess epidemiological situation of mumps in Poland in 2013, including vaccination coverage in Polish population, in comparison to previous years.

METHODS

The descriptive analysis was based on data retrieved from routine mandatory surveillance system and published in the annual bulletins "Infectious diseases and poisonings in Poland in 2013" and "Vaccinations in Poland in 2013" (Czarkowski MP i in., Warszawa 2013, NIZP-PZH i GIS). Mumps cases were classified according to the criteria of surveillance case definition implemented in the European Union (Commission Decision of 28 April 2008 amending Decision 2002/253/EC). National Immunisation Programme for year 2013 was also used.

RESULTS

In total, there were 2 436 mumps cases registered in Poland in 2013. Incidence of mumps was 6.3 per 100,000 and it was lower by 12.5% in comparison with 2012 and lower by 18.2% in comparison with median for the years 2007-2010. The highest incidence rate was observed among children aged 5 years (54.0 per 100,000). Incidence in men (7.5) was higher than in women (5.2). In 2013, 38 people were hospitalized due to mumps. Vaccination coverage of children aged 3 years in Poland in 2013 was 97.5% and it was lower by 0.4% in comparison with year 2012.

CONCLUSIONS

Systematic execution of mumps vaccination in accordance with the National Immunisation Programme resulted in a significant decrease in the number of registered cases. Due to the high vaccination coverage further decline in the number of cases is expected.

摘要

背景

自2003年起,波兰强制要求接种腮腺炎疫苗,采用两剂次的麻疹、腮腺炎和风疹联合疫苗(MMR疫苗)接种方案。在此之前,该疫苗接种仅为推荐性的。尽管由于开展了疫苗接种,腮腺炎发病率在过去十多年间呈下降趋势,但腮腺炎仍是一种常见的儿童疾病。

目的

评估2013年波兰腮腺炎的流行病学情况,包括波兰人群的疫苗接种覆盖率,并与往年进行比较。

方法

描述性分析基于从常规强制监测系统获取的数据,这些数据发表在年度公报《2013年波兰的传染病与中毒情况》和《2013年波兰的疫苗接种情况》(Czarkowski MP等人,华沙,2013年,国家公共卫生研究所 - 国家卫生研究院和国家卫生信息中心)中。腮腺炎病例根据欧盟实施的监测病例定义标准进行分类(2008年4月28日委员会决定修订2002/253/EC号决定)。同时还使用了2013年的国家免疫规划。

结果

2013年波兰共登记了2436例腮腺炎病例。腮腺炎发病率为每10万人6.3例,与2012年相比降低了12.5%,与2007 - 2010年的中位数相比降低了18.2%。5岁儿童的发病率最高(每10万人54.0例)。男性发病率(7.5)高于女性(5.2)。2013年,有38人因腮腺炎住院。2013年波兰3岁儿童的疫苗接种覆盖率为97.5%,与2012年相比降低了0.4%。

结论

按照国家免疫规划系统地实施腮腺炎疫苗接种,使登记病例数显著减少。由于疫苗接种覆盖率较高,预计病例数将进一步下降。

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