基于巴西各市疫苗接种指标的疫苗可预防疾病传播风险分类
Classification of transmission risk of vaccine-preventable diseases based on vaccination indicators in Brazilian municipalities.
作者信息
Braz Rui Moreira, Domingues Carla Magda Allan S, Teixeira Antônia Maria da Silva, Luna Expedito José de Albuquerque
机构信息
Ministério da Saúde, Secretaria de Vigilância em Saúde, Brasília-DF, Brasil.
Universidade de São Paulo, Instituto de Medicina Tropical de São Paulo, São Paulo-SP, Brasil.
出版信息
Epidemiol Serv Saude. 2016 Oct-Dec;25(4):745-754. doi: 10.5123/S1679-49742016000400008.
OBJECTIVE
to describe the transmission risk classification of vaccine-preventable diseases in Brazilian municipalities.
METHODS
this was a descriptive epidemiologic study using 2014 data of the Brazilian National Immunization Program Information System; the vaccine coverage indicators were used to classify the transmission risk of vaccine-preventable diseases in the municipalities.
RESULTS
of the 5,570 Brazilian municipalities, 12.0% were classified as very low risk, 29.6% as low risk, 2.2% as medium risk, 54.3% as high risk and 1.8% as very high risk.
CONCLUSION
the vaccination coverage surveillance allowed to identify most of the municipalities in high risk situation and the minority of children living in municipalities with appropriate coverage; the vaccination coverage surveillance using indicators of the Brazilian National Health System (SUS) is a new tool for identifying priority areas where the actions can be more successful for health managers and improve the quality and the success of the immunizations program.
目的
描述巴西各市疫苗可预防疾病的传播风险分类。
方法
这是一项描述性流行病学研究，使用了巴西国家免疫规划信息系统2014年的数据；疫苗接种覆盖率指标用于对各市疫苗可预防疾病的传播风险进行分类。
结果
在巴西的5570个市中，12.0%被分类为极低风险，29.6%为低风险，2.2%为中等风险，54.3%为高风险，1.8%为极高风险。
结论
疫苗接种覆盖率监测有助于识别大多数处于高风险状况的市以及少数生活在接种覆盖率适宜市的儿童；利用巴西国家卫生系统（SUS）指标进行的疫苗接种覆盖率监测是一种新工具，可帮助卫生管理人员确定哪些优先领域采取行动可能更有成效，从而提高免疫规划的质量和成功率。
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