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世卫组织东地中海区域季节性流感疫苗接种规划政策和覆盖情况回顾。

A review of policies and coverage of seasonal influenza vaccination programs in the WHO Eastern Mediterranean Region.

机构信息

WHO Regional Office for the Eastern Mediterranean Cairo Egypt.

The Task Force for Global Health Decatur Georgia USA.

出版信息

Influenza Other Respir Viruses. 2023 Mar 21;17(3):e13126. doi: 10.1111/irv.13126. eCollection 2023 Mar.

DOI:10.1111/irv.13126
PMID:36970569
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10030358/
Abstract

BACKGROUND

Although there has been an effective seasonal influenza vaccine available for more than 60 years, influenza continues to circulate and cause illness. The Eastern Mediterranean Region (EMR) is very diverse in health systems capacities, capabilities, and efficiencies, which affect the performance of services, especially vaccination, including seasonal influenza vaccination.

AIMS

The aim of this study is to provide a comprehensive overview on country-specific influenza vaccination policies, vaccine delivery, and coverage in EMR.

MATERIALS AND METHODS

We have analyzed data from a regional seasonal influenza survey conducted in 2022, Joint Reporting Form (JRF), and verified their validity by the focal points. We also compared our results with those of the regional seasonal influenza survey conducted in 2016.

RESULTS

Fourteen countries (64%) had reported having a national seasonal influenza vaccine policy. About (44%) countries recommended influenza vaccine for all SAGE recommended target groups. Up to 69% of countries reported that COVID-19 had an impact on influenza vaccine supply in the country, with most of them (82%) reporting increases in procurement due to COVID-19.

DISCUSSION

The situation of seasonal influenza vaccination in EMR is varied, with some countries having well established programs while others having no policy or program; these variances may be due to resources inequity, political, and socioeconomic dissimilarities. Few countries have reported wide vaccination coverage over time with no clear trend of improvement.

CONCLUSION

We suggest supporting countries to develop a roadmap for influenza vaccine uptake and utilization, assessment of barriers, and burden of influenza, including measuring the economic burden to enhance vaccine acceptance.

摘要

背景

尽管已有 60 多年有效的季节性流感疫苗，但流感仍在继续传播并导致疾病。东地中海区域（EMR）在卫生系统能力、效能方面存在多样性，这会影响服务的表现，特别是疫苗接种，包括季节性流感疫苗接种。

目的

本研究旨在提供关于 EMR 国家特定流感疫苗接种政策、疫苗接种和覆盖范围的全面概述。

材料和方法

我们分析了 2022 年进行的区域季节性流感调查、联合报告表（JRF）的数据，并由协调人核实了其有效性。我们还将我们的结果与 2016 年进行的区域季节性流感调查结果进行了比较。

结果

14 个国家（64%）报告了国家季节性流感疫苗政策。约（44%）的国家建议为所有 SAGE 推荐的目标人群接种流感疫苗。多达 69%的国家报告说，COVID-19 对该国流感疫苗供应产生了影响，其中大多数国家（82%）因 COVID-19 而增加了采购。

讨论

EMR 季节性流感疫苗接种情况各不相同，一些国家制定了完善的计划，而另一些国家则没有政策或计划；这些差异可能是由于资源不平等、政治和社会经济差异造成的。少数国家报告了随着时间的推移，疫苗接种覆盖率广泛，但没有明显的改善趋势。

结论

我们建议支持各国制定提高流感疫苗接种率和利用率的路线图，评估障碍和流感负担，包括衡量经济负担以提高疫苗的可接受性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c3cb/10030358/93f6a2dd50d1/IRV-17-e13126-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c3cb/10030358/d16bb239a48c/IRV-17-e13126-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c3cb/10030358/06ea09fd4af9/IRV-17-e13126-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c3cb/10030358/689804b1ab09/IRV-17-e13126-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c3cb/10030358/e7414b4e803b/IRV-17-e13126-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c3cb/10030358/f84cdd2a0b1e/IRV-17-e13126-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c3cb/10030358/07cd7443176a/IRV-17-e13126-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c3cb/10030358/462037971c8e/IRV-17-e13126-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c3cb/10030358/559dcad4048d/IRV-17-e13126-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c3cb/10030358/6b99a49e4309/IRV-17-e13126-g010.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c3cb/10030358/93f6a2dd50d1/IRV-17-e13126-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c3cb/10030358/d16bb239a48c/IRV-17-e13126-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c3cb/10030358/06ea09fd4af9/IRV-17-e13126-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c3cb/10030358/689804b1ab09/IRV-17-e13126-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c3cb/10030358/e7414b4e803b/IRV-17-e13126-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c3cb/10030358/f84cdd2a0b1e/IRV-17-e13126-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c3cb/10030358/07cd7443176a/IRV-17-e13126-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c3cb/10030358/462037971c8e/IRV-17-e13126-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c3cb/10030358/559dcad4048d/IRV-17-e13126-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c3cb/10030358/6b99a49e4309/IRV-17-e13126-g010.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c3cb/10030358/93f6a2dd50d1/IRV-17-e13126-g004.jpg

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