Zhao H T, Peng Z B, Ni Z L, Yang X K, Guo Q Y, Zheng J D, Qin Y, Zhang Y P
Division of Infectious Diseases, Chinese Center for Disease Control and Prevention, Beijing 102206, China.
Department of Infectious Disease Control, Yuxi Center for Disease Control and Prevention, Yuxi 653100, China.
Zhonghua Yu Fang Yi Xue Za Zhi. 2022 Nov 6;56(11):1560-1564. doi: 10.3760/cma.j.cn112150-20220810-00802.
To investigate the policies and coverage of influenza vaccine during the influenza epidemic seasons of 2020-2021 and 2021-2022 in China. The national influenza vaccination policy and vaccination rate were investigated in counties and districts and described in the two epidemic seasons. In the epidemic seasons of 2020-2021 and 2021-2022, the vaccination coverage of influenza in China was 3.16% and 2.47%, respectively. The free vaccination policy had the highest vaccination coverage (51.75% and 38.32%), followed by the medical insurance reimbursement policy (9.74% and 7.36%). During the epidemic season of 2021-2022, the number of counties and districts implementing the free vaccination policy in China decreased 61 compared with the previous year, but the number of people covered increased by 51.29%. However, the vaccination coverage of the vast population decreased significantly, with the medical staff (75.69% and 40.15% for two epidemic seasons), preschool children (58.86% and 26.15%), and the elderly (45.71% and 32.94%). During the epidemic season of 2021-2022, the number of counties and districts implementing the medical insurance reimbursement policy increased by 6 compared with the previous year, and the number of people covered increased by 11.12%, but the vaccination coverage decreased. The influenza vaccination rate in China is low, and the implementation of cost preferential policy can greatly improve the influenza vaccination rate.
调查2020 - 2021年和2021 - 2022年流感流行季节中国流感疫苗的政策及接种率情况。在县区层面调查全国流感疫苗接种政策及接种率,并对两个流行季节进行描述。在2020 - 2021年和2021 - 2022年流行季节,中国流感疫苗接种率分别为3.16%和2.47%。免费接种政策的接种率最高(分别为51.75%和38.32%),其次是医保报销政策(分别为9.74%和7.36%)。在2021 - 2022年流行季节,中国实施免费接种政策的县区数量比上一年减少了61个,但覆盖人数增加了51.29%。然而,广大人群的接种率显著下降,其中医务人员(两个流行季节分别为75.69%和40.15%)、学龄前儿童(分别为58.86%和26.15%)以及老年人(分别为45.71%和32.94%)。在2021 - 2022年流行季节,实施医保报销政策的县区数量比上一年增加了6个,覆盖人数增加了11.12%,但接种率下降。中国流感疫苗接种率较低,实施费用优惠政策可大幅提高流感疫苗接种率。