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疫苗接种后时代的麻疹流行病学

Postvaccine era measles epidemiology.

作者信息

Paule C L, Bean J A, Burmeister L F, Isacson P

出版信息

JAMA. 1979 Apr 6;241(14):1474-6.

PMID:430684
Abstract

Measles incidence in the United States was calculated from estimates of the United States Immunization Survey for the years 1965 to 1975. These data were examined according to birth cohorts and cross-sectionally by age to determine the effect of live measles virus vaccine on measles epidemiology. The results showed a high rate of infection for children aged 1 year, followed by a decrease in the infection rates for preschool children, with rates increasing agin at ages 5 and 6 years. It was hypothesized that an effective vaccine-induced herb immunity exists in preschool children until they are of school age. When incidence rates were based on susceptible children, the highest rates occurred in the school-aged populations.

摘要

美国1965年至1975年的麻疹发病率是根据美国免疫调查的估计数据计算得出的。这些数据按出生队列进行了检查,并按年龄进行了横断面分析,以确定麻疹活病毒疫苗对麻疹流行病学的影响。结果显示,1岁儿童的感染率很高,随后学龄前儿童的感染率下降,5岁和6岁时感染率再次上升。据推测,学龄前儿童在达到学龄之前存在有效的疫苗诱导的群体免疫。当发病率基于易感儿童时,最高发病率出现在学龄人口中。

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