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解决撒哈拉以南非洲地区医护人员的疫苗接种差距:强制性乙肝疫苗接种的作用。

Addressing vaccination gaps among healthcare workers in sub-Saharan Africa: the role of mandatory Hepatitis B vaccination.

作者信息

Daniel Faithful Miebaka, Ukoaka Bonaventure Michael, Emeruwa Victoria Ezinne, Oti-Ashong Rosette Chidera, Falaiye Gabriel Oluwafemi

机构信息

Community and Clinical Research Division, First On-Call Initiative, No. 4 Freedom Square, Kharkiv, Ukraine.

Community and Clinical Research Division, First On-Call Initiative, Nigeria, No. 4-8 Harley Street, Old GRA, Port Harcourt, Nigeria.

出版信息

Trop Med Health. 2024 Nov 6;52(1):80. doi: 10.1186/s41182-024-00652-x.

DOI:10.1186/s41182-024-00652-x
PMID:39506828
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11539766/
Abstract

Hepatitis B virus (HBV) poses a significant public health threat, particularly in developing countries with high endemicity but poor vaccination among healthcare workers (HCWs). Needlestick injuries increase HCWs' risk, yet only about 42% of HCWs are fully vaccinated compared to 97% in high-income countries. Challenges to vaccine uptake include availability, demanding schedules with frequent unit rotations hindering access, high cost of acquiring shots, and stock shortages resulting in missed opportunities. Mandatory, cost-free HBV vaccinations for HCWs, supported by legislation, international aid, and digital reminders, could ensure self-protection and safety while contributing to the global objective of eradicating HBV by 2030.

摘要

乙型肝炎病毒(HBV)对公众健康构成重大威胁,在乙肝高流行但医护人员(HCWs)疫苗接种率低的发展中国家尤为如此。针刺伤会增加医护人员感染的风险,然而,只有约42%的医护人员完成了全程接种,相比之下,高收入国家这一比例为97%。疫苗接种面临的挑战包括疫苗供应、频繁轮岗导致难以按时接种、获取疫苗成本高以及库存短缺造成接种机会错过。通过立法、国际援助和数字提醒来支持医护人员强制免费接种乙肝疫苗,既能确保自我保护和安全,又有助于实现到2030年消除乙肝病毒的全球目标。

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Infect Prev Pract. 2024 Mar 9;6(2):100354. doi: 10.1016/j.infpip.2024.100354. eCollection 2024 Jun.
2
Need for Hepatitis B Vaccination in Medical Students.医学生乙肝疫苗接种的必要性。
JNMA J Nepal Med Assoc. 2023 Jun 1;61(262):569-570. doi: 10.31729/jnma.8189.
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Hepatitis B vaccination status among health workers in Nigeria: a nationwide survey between January to June 2021.尼日利亚卫生工作者的乙肝疫苗接种状况:2021年1月至6月的全国性调查
Arch Public Health. 2023 Jul 4;81(1):123. doi: 10.1186/s13690-023-01142-y.
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An Ethical Anaylsis of the Arguments Both For and Against COVID-19 Vaccine Mandates for Healthcare Workers.对支持和反对医护人员接种 COVID-19 疫苗强制令的论点的伦理分析。
J Emerg Med. 2023 Feb;64(2):246-250. doi: 10.1016/j.jemermed.2022.11.005. Epub 2022 Nov 14.
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Knowledge, attitudes and beliefs towards compulsory vaccination: a systematic review.对强制接种疫苗的知识、态度和信念:系统评价。
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