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[过去十年巴西疫苗接种运动对与麻疹相关的住院率和死亡率的影响]

[Effects of the vaccination campaign on hospitalization and mortality linked to measles in Brazil in the last decade].

作者信息

Loureiro Amanda Aparecida Ribeiro, Dutra Hadassa Franca, Gonçalves Eduarda Berberth Dias, Pereira Francisco Otávio Silveira, Argolo Breno Mendes, Fonseca Raquel Maria da, Fófano Gisele Aparecida

机构信息

Centro Universitário Governador Ozanam Coelho. R. Doutor Adjalme da Silva Botelho 20, Seminário. 36506-022 Ubá MG Brasil.

Prefeitura Municipal de Juiz de Fora. Juiz de Fora MG Brasil.

出版信息

Cien Saude Colet. 2024 May;29(5):e20042022. doi: 10.1590/1413-81232024295.20042022. Epub 2023 Jul 10.

Abstract

Measles is one of the main causes of morbidity and mortality in the pediatric population and it can be prevented with 100% effectiveness by vaccination. However, the disease remains active in throughout Brazil. The scope of this article is to evaluate the population's adherence to vaccination and the potential connection with hospitalizations and mortality in relation to measles in Brazil. This is an ecological study based on secondary data on mortality and hospitalizations due to measles and vaccination coverage against the disease in Brazil from 2013 to 2022. The peak of adherence to the measles vaccination schedule occurred in the 3 years that preceded the eradication of the disease in the country, which occurred in 2016. In this interval, there are the lowest hospitalization rates, with zero mortality from 2014 to 2017. On the other hand, there has been a marked drop in vaccination rates since 2019, when the disease resurfaced in Brazil. Concomitantly, hospitalization and mortality rates reach the highest recorded values. Population adherence to the complete measles vaccination schedule, which is essential to control the disease and related deaths, is insufficient, which is reflected in hospitalization and mortality rates.

摘要

麻疹是儿童发病和死亡的主要原因之一,通过接种疫苗可实现100%有效的预防。然而,该病在巴西各地仍很活跃。本文的目的是评估巴西民众对疫苗接种的依从性以及与麻疹相关的住院率和死亡率之间的潜在联系。这是一项基于2013年至2022年巴西麻疹导致的死亡率和住院率以及针对该疾病的疫苗接种覆盖率等二手数据的生态学研究。该国麻疹疫苗接种计划的依从性高峰出现在2016年该国消除麻疹之前的3年。在此期间,住院率最低,2014年至2017年死亡率为零。另一方面,自2019年巴西麻疹疫情再次出现以来,疫苗接种率显著下降。与此同时,住院率和死亡率达到有记录以来的最高值。民众对完整麻疹疫苗接种计划的依从性对于控制该疾病及相关死亡至关重要,但目前并不充足,这在住院率和死亡率中有所体现。

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