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首页> 外文期刊>Vaccine >Vaccination coverage survey versus administrative data in the assessment of mass yellow fever immunization in internally displaced persons - Liberia, 2004.
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Vaccination coverage survey versus administrative data in the assessment of mass yellow fever immunization in internally displaced persons - Liberia, 2004.

机译:评估国内流离失所者进行大规模黄热病免疫接种时的疫苗接种覆盖率调查与行政数据比较-利比里亚,2004年。

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Yellow fever (YF) is a mosquito-borne vaccine-preventable disease with high mortality. In West Africa, low population immunity increases the risk of epidemic transmission. A cluster survey was conducted to determine the effectiveness of a mass immunization campaign using 17D YF vaccine in internally displaced person (IDP) camps following a reported outbreak of YF in Liberia in February 2004. Administrative data of vaccination coverage were reviewed. A cluster sample size was determined among 17,384 shelters using an 80% vaccination coverage threshold. A questionnaire eliciting demographic information, household size, and vaccination status was distributed to randomly selected IDPs. Data were analyzed to compare vaccination coverage rates of administrative versus survey data. Among 87,000 persons estimated living in IDP camps, administrative data recorded 49,395 (57%) YF vaccinated persons. A total of 237 IDPs were surveyed. Of survey respondents, 215 (91.9%, 95% CI 88.4-95.4) reported being vaccinated during the campaign and 196 (83.5%, 95% CI 78.6-88.5) possessed a valid campaign vaccination card. The median number of IDPs living in a shelter was 4 (range, 1-8) and 69,536 persons overall were estimated to be living in IDP camps. Coverage rates from a rapid survey exceeded 90% by self-report and 80% by evidence of a vaccination card, indicating that the YF immunization campaign was effective. Survey results suggested that administrative data overestimated the camp population by at least 20%. An emergency, mop-up vaccination campaign was avoided. Coverage surveys can be vital in the evaluation of emergency vaccination campaigns by influencing both imminent and future immunization strategies..
机译:黄热病(YF)是一种由蚊子传播的可预防疫苗的疾病,死亡率很高。在西非,较低的人口免疫力增加了流行病传播的风险。据报道,2004年2月利比里亚爆发YF后,在国内流离失所者(IDP)营地中进行了一项集体调查,以确定使用17D YF疫苗进行大规模免疫运动的有效性。审查了疫苗接种覆盖率的行政数据。使用80%的疫苗接种覆盖率阈值,在17,384个避难所中确定了群集样本大小。收集人口统计信息,家庭人数和疫苗接种状况的调查表已分发给随机选择的IDP。分析数据以比较行政数据和调查数据的疫苗接种率。在估计居住在国内流离失所者营地的87,000人中,行政数据记录了49,395名(57%)YF疫苗接种者。总共对237名国内流离失所者进行了调查。在调查的受访者中,有215(91.9%,95%CI 88.4-95.4)报告在运动期间进行了疫苗接种,其中196(83.5%,95%CI 78.6-88.5)拥有有效的运动接种疫苗卡。居住在庇护所中的国内流离失所者的中位数为4(范围为1至8),估计总共有69,536人居住在境内流离失所者的营地中。自我报告的快速调查覆盖率超过90%,接种疫苗的证据覆盖率超过80%,这表明YF免疫运动是有效的。调查结果表明,行政数据高估了营地人口至少20%。避免了紧急的预防接种运动。覆盖率调查通过影响即将发生的和未来的免疫策略,对于评估紧急疫苗接种活动至关重要。

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