中国媒介生物学及控制杂志

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浙江省肾综合征出血热纯化灭活疫苗现场免疫效果和免疫策略研究

夏建华1; 翁景清1; 龚震宇1; 赵芝雅1; 朱智勇1; 兰锦清2; 陈毓土2; 季群伟2; 张庆梅2; 徐江荣2; 吴云高2; 郜翔2; 郑晓峰2; 周庆江2; 陈海燕2; 吴江峰2; 王黎江2; 雷金宝2; 王利萍2; 余新顺3; 王玮3; 余樟有3; 江平3; 郑剑3; 吕跃民3; 方春福3; 廖水法4; 范小钢4; 汤樟全4   

  1. 1.浙江省卫生防疫站 杭州 310009;2.龙游县卫生防疫站;3.衢州市卫生防疫站;4.龙游县溪口区卫生院
  • 出版日期:1996-08-20 发布日期:1996-08-20

Study on the Efficacy and Immunological Strategy of Purified Inactivated HFRS Vaccine in Population in Zhejiang Province

Xia Jian-hua;Wong Jing-qing;Gong Zhen-Yu et al   

  1. Health and Anti-Epidemic Station,Zhejiang Province
  • Online:1996-08-20 Published:1996-08-20

摘要: 本文报告肾综合征出血热纯化灭活疫苗在浙江省高发疫区大面积人群接种后的安全性、血清学和流行病学近期防病效果。本次共接种10460人,全程接种者占97.30%;对照16159人。全程接种后两周荧光抗体阳转率为98.55%(68/69),中和抗体阳转率为44.83%,几何平均滴度分别为69.36和4.44。经一个流行期观察,接种组无发病;对照组发病12例,发病率为74.26/10万,人群近期保护率达100%。人群接种后局部和全身反应较明显,注射局部疼痛感达100%,但均未发生异常反应(包括隐性感染者)。预测疫苗接种后当年发病数减少了33例,取得一定的经济和社会效益。

关键词: 肾综合征出血热纯化灭活疫苗, 血清学效果, 流行病学效果

Abstract: Evaluation on the safety and efficacy of inactivated HFRS vaccine purified from suckling mouse brains was carried out in population in the focus of HFRS with high incidence of HFRS in Zhejiang province, 10460 people were vaccinated, 97. 30% of them completed their vaccination of full doses. 16l 59 non-vaccinated people living in the same areas as the vaccinees were used as the control group. Two weeks after the injection of the third dose, the seroconversion rate by immunofluorescent antibody testIgG ) and neutralization test were 98. 55%(68/69)and 44. 83%, the GMTs of them were 69. 36 and 4. 44 respectively. After one epidemic season's observation, 12 cases of HFRS occurred in the control group, while no cases occurred in the vaccinated group. The protection rate was 100%.The results showed that short term effect of the vaccine was excellent.The incidence of side effects of the vaccine was very high, the side effects mainly were local inching, sweeling, induration and some general symptoms.