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“因为有 5 名同学未接种疫苗,我的儿子不能上学。”关于强制性疫苗接种和免疫功能低下儿童进入学校的风险问题:以儿科癌症患者为例。

"My son can not attend the school because 5 classmates are unvaccinated". On the question of compulsory vaccinations and the risk for immune-compromised children into the schools: the case of paediatric cancer patients.

机构信息

a Department of Biomedical Sciences and Human Oncology , Aldo Moro University of Bari , Italy.

出版信息

Hum Vaccin Immunother. 2019;15(3):643-644. doi: 10.1080/21645515.2018.1537757. Epub 2018 Nov 5.

Abstract

Since 2017, 10 vaccines are compulsory for newborns in Italy and unvaccinated children are not admitted to kindergartens. Recently the Italian Government announced the perspective of reforming the law about the compulsory vaccination. A debated started about the presence, in the same class of the schools, of unvaccinated and immunocompromised children. Cancer is the one of the most important cause of immunodepression among children: after the chemoterapy, there is a period of 13-23 months in which the cancer survivors have to come back at the school and at to the "normal life" (even for psychological exigency) but remain at risk of infectious disease for the immunodepression. The most important chance to protect this subgroup of patients remains the herd immunity.

摘要

自 2017 年以来,意大利规定新生儿必须接种 10 种疫苗,未接种疫苗的儿童不得进入幼儿园。最近,意大利政府宣布了改革强制接种疫苗法律的前景。关于在学校同一班级中有无接种疫苗和免疫功能低下儿童的问题引发了争议。癌症是儿童免疫抑制的最重要原因之一:化疗后,癌症幸存者必须在 13-23 个月内回到学校和“正常生活”(即使出于心理需要),但仍面临免疫抑制导致传染病的风险。保护这群患者的最重要机会仍然是群体免疫。

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