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汪志国, 马福宝, 汤奋扬, 陶红, 黄红玉, 周羚, 羊海涛, 葛均. 江苏省儿童乙肝流行及疫苗接种状况调查[J]. 中国公共卫生, 2009, 25(4): 483-485. DOI: 10.11847/zgggws2009-25-04-51
引用本文: 汪志国, 马福宝, 汤奋扬, 陶红, 黄红玉, 周羚, 羊海涛, 葛均. 江苏省儿童乙肝流行及疫苗接种状况调查[J]. 中国公共卫生, 2009, 25(4): 483-485. DOI: 10.11847/zgggws2009-25-04-51
WANG Zhi-guo, MA Fu-bao, TANG Fen-yang, . Investigation on epidemic situation of hepatitis B virus and vaccination among children in Jiangsu province[J]. Chinese Journal of Public Health, 2009, 25(4): 483-485. DOI: 10.11847/zgggws2009-25-04-51
Citation: WANG Zhi-guo, MA Fu-bao, TANG Fen-yang, . Investigation on epidemic situation of hepatitis B virus and vaccination among children in Jiangsu province[J]. Chinese Journal of Public Health, 2009, 25(4): 483-485. DOI: 10.11847/zgggws2009-25-04-51

江苏省儿童乙肝流行及疫苗接种状况调查

Investigation on epidemic situation of hepatitis B virus and vaccination among children in Jiangsu province

  • 摘要: 目的分析江苏省儿童乙肝疫苗接种和乙肝流行现状,评价乙肝疫苗纳入儿童免疫规划管理后的效果。方法采用多阶段分层整群随机抽样方法,调查城乡监测点1~14岁常住儿童1894名,进行乙肝疫苗接种情况以及乙肝感染主要危险因素问卷调查;采集静脉血,用酶联免疫法(ELISA)检测血清中乙肝病毒表面抗原(HBsAg)乙肝病毒表面抗体(抗-HBs)、乙肝病毒核心抗体(抗-HBc)。结果江苏省1~14岁城市儿童乙肝疫苗接种率、首针及时接种率分别为97.13%,78.43%,农村儿童分别为95.15%,57.96%;1~14岁儿童HBsAg阳性率、抗-HBs阳性率、抗-HBc阳性率、乙肝病毒(HBV)感染流行率经标化调整后分别为1.10%,70.02%,3.40%,5.53%。结论江苏省乙肝疫苗纳入免疫规划效果显著,5岁以下儿童HBsAg阳性率已降至1%以下,乙肝疫苗接种率和首针及时率逐年提高。

     

    Abstract: ObjectiveTo analyze the situation of hepatitis B virus(HBV)infection and vaccination and to evaluate the immunization effects after hepatitis B vaccine involved in the expanded program on immunization(EPI).MethodsA survey for 1 894 children aged 1-14 years old was carried out in national surveillance sites using multistage cluster randomized sampling method.Every child's hepatitis B immunization history and main risk factors were investigated through questionnaire.Venous blood samples were collected and tested for HBsAg,anti-HBs and anti-HBc by ELISA method.ResultsAmong the children the rates of hepatitis B vaccine inoculation and timeliness of birth dose in urban area were 97.13% and 78.43%,but the rates in rural area were 95.15% and 57.96%,respectively.The age standardized positive rates of HBsAg,anti-HBs,anti-HBc and HBV infection were 1.10%,70.02%,3.40% and 5.53%,respectively.ConclusionAchievement in hepatitis B control and prevention has been made in Jiangsu province since hepatitis B vaccine was brought into EPI.The positive rate of HBsAg was below 1% for children aged less than 5 years old.The rates of hepatitis B vaccine inoculation and timeliness of birth dose were increased.

     

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