Sunday, October 28, 2012

The epidemic situation of China's measles goes up The expert claims domestic vaccine quality is very safe

The epidemic situation of China's measles goes up The expert claims domestic vaccine quality is very safe
Measles is the acute respiratory tract infectious disease endangering children's health seriously, World Health Organization has already classified it as after eliminating variola, poliomyelitis infectious disease that plans to be dispelled. Our government promised to dispel measles to the international community solemnly in 2012, and made" dispel the action plan of measles in the whole country in 2006-2012 years ", propose by 2012, national the intersection of measles and morbidity control in 1/100 following Wan. In order to control and dispel measles effectively, Ministry of Public Health printed and distributed " dispelled the action scheme of measles in the whole country in 2010-2012 years " a few days ago, define September 11 to begin, launch the intensive immunity activity of Measles Vaccine in the whole country, inoculate or reseed Measles Vaccine for nearly hundred million person children, in order to reach the goal of dispelling measles in 2012. This autumn, our country will inoculate Measles Vaccine in unison in 8 months old will reach the children of 4 years old for the first time, in order to block measles and virus to travel. What danger does measles have on earth? How will our country launch the large-scale measles this time and strengthen the work of immunity inoculation? What are needed to pay attention to again to inoculate measles? The reporter of Science and Technology Daily Office interviewed China's disease and accused of the immunity of centre and planned Liang XiaoFeng, director of centre on the question that the public cared about a few days ago. Present situation: Of our country the intersection of measles and epidemic situation go up data of Ministry of Public Health reveal national the intersection of measles and report have illness coming on 52,000 2009, 39 cases of death. In recent years, measles has illness coming on the crowd takes little age children as the core, but in more developed areas of eastern floating population, adult's measles has illness coming on and presents higher level too. "Our country dispels the measles work: National the intersection of measles and morbidity control in 1/ 100 following Wan (excluding inputting the case) by 2012 ,There are not native measles and virus that travel. " Roof beam peak explain on the intersection of our country and the intersection of measles and level of having illness coming on at present, take, realize, dispel the intersection of measles and goal in 2012 year dawn, time is quite urgent, the task is very arduous. However, the measles morbidity of China rebounds to some extent in recent years. "Measles epidemic situation go up, at all in that accumulation of more easily infected group. " Liang XiaoFeng points out, it is up to 100% that the inoculation rate of vaccine is very difficult on one hand, and floating population and inoculating rate of remote area crowd of a large number of of China are often not high; On the other hand, because own characteristic of vaccine and inoculating the individual's difference, to can not up to 100% even while being efficient vaccine. If according to 95% of inoculating rate, efficient 90% can be regarded as, the whole immune level of vaccine is more than 80%. Liang XiaoFeng emphasizes, the accumulation that must cause more easily infected group of low inoculating rate, causes the epidemic situation to break out finally. Vaccine inoculation: " it is to inoculate Measles Vaccine to prevent the most effective method of measles to prevent the most effective route of measles. " XiaoFeng Liang point out, strengthen immune target, refer to no matter the intersection of measles and ill history or immune history person previously, inoculate a dose of Measles Vaccine. Through strengthening the immunity, children produce the chance of the antibody to increase, the possibility which is infected with measles will be reduced greatly too. Measles Vaccine strengthens the immunity to refer to, in implementing the conventionally immune foundation, to all children (whether he has inoculated measles or rough cheek wind vaccine and suffered from measles previously) of the right age free within short time ,All the person who doesn't have measles and vaccine inoculation taboo disease, inoculate measles or rough cheek wind vaccine. "Strengthen the immunity, it is the important component of comprehensive elimination measles tactics which our country puts forward. " XiaoFeng Liang emphasize, launch Measles Vaccine strengthen immunity give inoculate vaccine and the intersection of immunity and unsuccessful children offer once to reseed the chance behind the vaccine inoculation, meanwhile, make partly inoculating the intersection of Measles Vaccine and time, raising internal the intersection of antibody and competence rapidly than loud the intersection of age and children long already, increase and protect service life. So, in order to protect children healthy, children and his parents of the right age should support and participate in the intensive immunity activity actively. Liang XiaoFeng introduces, " immunity inoculation prevents the most economic and most effective route of measles. " The regular immune procedure of Measles Vaccine is at present in our country: 8 months old inoculate, inoculate second pharmaceutical time to 24 months old 18 month. "The patient's early discovery, isolating early, treating early, reporting the spread that can avoid measles early. " Liang XiaoFeng reminds and says, patient should isolate for treatment measles in time, avoid going out to infect others; Isolate issue to infect issue, finish, happen 5 days after the rash promptly, the person who amalgamates pneumonia should be isolated to happen for 10 days behind rash. At time when measles is prevailing, want, try hard the intersection of crowd and intensive place; Collective units such as school, nurseries and kindergartens organization,etc., once finding measles in conformity with requiring patients to isolate immediately, avoid the contact with more easily infected group; Need, carry on medical science observe to person who keep in close touch, implement, examine and not due to illness absent from school to verify the system morning; Should meet an urgent need and inoculate to susceptible persons according to the circumstances. Parents' doubt: When has sha sha a year old of best period of inoculating just inoculated other vaccine, learn that will begin to inoculate Measles Vaccine free at once, mother of sha sha asks a reporter, can her child inoculate Measles Vaccine at once? Roof beam peak explain if Measles Vaccine need, plan, inoculate meanwhile by vaccine with other immunity dawn, can inoculate on different positions; Without inoculate at the same time, Measles Vaccine and it reduces poison to be (such as second brain, chicken-pox) in living vaccine while being other Should inoculate again at intervals of one month at least. "Need parents' cooperation and in the know to agree, before Measles Vaccine inoculates in vaccine inoculation of measles, parents should cooperate and inoculate personnel's inquiry of doing a good job of children's health status and taboo sieve of inoculation to check. " Liang XiaoFeng says, if children have very slow kind of uncomfortable, taboo disease,etc. of generating heat etc. or not inoculate Measles Vaccine. Liang XiaoFeng reminds, if children have the following situations, can't inoculate Measles Vaccine: Allergic to any composition that vaccine includes(concrete composition consults the Measles Vaccine manual) ; Have suffered from serious anaphylactia such as reacting, anaphylactic purpura, blood platelet reducing purpura of anaphylactic larynx edema, anaphylactic shock, Arthur; Suffering from acute disease, serious chronic disease, or is in the acute outbreak period of the chronic disease; Immune defect, immunological function are low or is accepting the immunity inhibits the treatment; Been suffering from or suffering from multiple neuritis, Green's syndrome in Bali, acute and sowing serious diseases of nervous system such as scattered encephalomyelitis, encephalopathy, epilepsy,etc. etc., or other going on diseases of nervous system. In addition, if children inoculate immunoglobulin (Ig) within 3 months, should slow kind of Measles Vaccine; Inject Measles Vaccine or reduce the intersection of poison and living vaccine while being other, need, reseed one month after the interval recently; Strengthen symptom of there is cold, generating heat etc. during the immunity, should reseed after getting well. The expert solves doubting: The peak dawn of very safe roof beam of domestic vaccine quality introduces, the quality safety management of vaccine has a series of sageguard measures. Manufacturing in vaccine In the course, of our country national the intersection of medicines and the intersection of supervision department and production, manufacture standard in enterprise there is a clear requirement, vaccine must pass strict animal experiment and clinical research before being registered, implement strict criticizing and issuing the system before being and is listed on vaccine and used. In addition the national medicines supervision department will also inspect vaccine already listed by random samples. "Require and store Measles Vaccine under 2 conditions of ��- 8 �� in shade and transport. " Liang XiaoFeng says, " pharmacopoeia of the People's Republic of China ", "store vaccine and transportation standardard management ", " the immunization campaign behaviour ",etc. stipulate by vaccine chain storing, transport and requirement monitoring at chains colds cold clearly. "Diseases at all levels accuse of the organization and inoculate the unit, and manage effectively through the apparatus construction of cold chain, the cold chain is stored, transported to guarantee vaccine under the fixed temperature condition. The basic unit inoculates some mainly through apparatuses such as the refrigerator, refrigerating the bag,etc., to guarantee the cold chain of vaccine is stored, transported and used. " Liang XiaoFeng emphasizes. In addition, " biologicals pack rules " packaging and manual in biologicals stipulate ": The lot number and term of validity employ and type one yard of machines to print on the packing box directly, the bottle signs and marks out the term of validity, should enclose the medicines manual on each minimum gift box, mark out the term of validity on the manual. "If while inoculating parents if have doubts, can consult and inoculate a doctor directly. " Strengthen the immunity: Vaccine and consumptive material country are bought singly " this national Measles Vaccine strengthens necessary vaccine of immunity and was produced by four biologyical preparations institutes in our country, by every province according to the intersection of " the law, bid of the People's Republic of China, " and fixed the intersection of bid and purchase and procedure, use central the intersection of transfer payment and funds bid and purchase to enterprise, vaccine purchased criticizes and issues qualified vaccine in order to assay through the Chinese biologicals. " The peak dawn of roof beam explains, strengthens immunity and does not collect any expenses to children parents this time, vaccine and syringe expenses are born by state finance. Moreover, ones that each inoculate, press the regulation, only offer the unification of the motherland to allot, free Measles Vaccine measuring strictly through the country. Liang XiaoFeng introduces, general responses such as generating heat, slight rash, some red swelling, pain,etc. may happen after inoculating Measles Vaccine to a few children, the condition is slight, seldom need especially handling. When generating heat at 37.1 to 37.5 ��, should strengthen and observe, appropriate rest, drink the water more, prevent then other diseases. Exceeds 37.5 ��, or under 37.5 ��, with situations such as other whole body symptoms, unusually crying and screaming,etc. as generating heat, should go to the hospital to make a diagnosis and give treatment in time. As to the local response that the red and swollen diameter smaller than 15 millimetresed, do not generally need any treatment, the local response that the red and swollen diameter is greater than 30 millimetres, should go to see doctor in time. Extremely specific children may present the allergic reaction etc. because of the individual difference, should seek medical advice in time, to inoculate unit the intersection of doctor and consultation and report. Unusually react: Government issue corresponding the intersection of compensation and Measles Vaccine, belong to, reduce malicious living vaccine, while the antibody emerges may appear some normal immunoreaction inoculate, already, can not heal at 1- 2 day when usually by oneself,treatment to the ill if necessary can also full restoration. "Inoculate, might become abnormal, react by various vaccine, take place probability to be very much low. " Liang XiaoFeng points out, with expanding implementation of national immune planning, there are more and more vaccine varieties that children need to inoculate. The inoculating rate of vaccine is the higher, varieties are the more, the apter to reflect the coincidence. Consider rights and interests of person who plant, " vaccine circulate with the intersection of immunization campaign and management rule " investigate and handle and diagnose, determine, carry on provision to react unusually, and require for disposable compensation to the serious injury arising from unusually reacting person, the ones that inoculated a kind of vaccine inoculated the undertaking by enterprises of class II vaccine by the provincial financial commitments. Meanwhile, Liang XiaoFeng points out, our country has already set up suspected immunization campaign to unusually reflect the monitoring system. Taking place suspectedly unusually reflects the incident, hygiene, medicine supervise the department will verify through investigation and deal with immediately. Inoculate, react, mean qualified vaccine in the course of inoculating the norm unusually, or implement the norm to lead to the fact that is damaged by the organism histoorgan, function of the persons who plant after inoculating, the relevant each side does not have a medicines bad reaction of fault. Disease accuses of personnel: How can guarantee measles strengthens immune smooth implementation the convoluted labour intensity of the work is great? How to realize nearly 100 million people's vaccine inoculation during when only 10 days, and need to cover in the past regularly and inoculating the urban floating population difficult to totally reach and remote people of mountain area? Should it be to strengthening the bad reaction that may appear in the immunity rapidly how? These questions, no matter for that hygiene, disease of every country accuse of the system, all enormous challenges. In strengthen in the immunity on a large scale, the intersection of hygiene and epidemic prevention worker of basic unit undertake to inoculate colony, propagate vaccine, tell risk, and carry on large-scale task of vaccine inoculation. "The short, task of strengthening immune time this time is serious, the intensity is large, the health authorities at all levels are before launching the intensive immunity activity, have already made the detailed Measles Vaccine intensive immunity activity and implemented the plan, and launched the training of pertinence to relevant personnel and guaranteed it is launched that the intensive immunity activity is safe and orderly. " The peak dawn of roof beam is sighed over with feeling to, while it is immune to strengthen measles in the place, in order to improve the inoculating rate, the hygiene epidemic prevention worker of the basic unit often goes to the assembling area of floating population to strike the door with the remote mountain area from house to house, the explanation one by one, labour intensity may well be big. Compare with horizontally: Dispelling various countries of measles has strategies that our country of similarities and differences dispels measles that is essentially identical with other most countries of the world. At present, only a few developed countries such as U.S.A. and Canada realize in the global range that dispel the measles goal through strengthening the work of regular immunity, and the other countries that realize and dispel the measles goal are in implementing 2 pharmaceutical conventionally immune foundation of Measles Vaccine once, realize by launching nationwide strengthening the immunity regularly that dispelled measles goal. The elimination measles tactics carried out at present in our country are on the basis of recommending the tactics in World Health Organization, already realized the experience which has dispelled the measles country after using for reference, and combine the reality of our country and make, the basic tactics keep the same with other countries, but because our country is a developing country, have a large population, the region is broad, the economic level in all parts is widely different, realize in our country that it is more challenging to dispel the measles goal. Consider while making our country and dispelling the measure of measles: In some relatively poor areas, the regular inoculating rate of Measles Vaccine has not reached the need which has dispelled measles yet; In the developed area, because weak link and concrete difficulty exist in the planning management of immunization programs for children of floating population, it is apt to accelerate the spread of measles in densely populated places such as the school, nurseries and kindergartens organization, hospital,etc., the breaking out or prevailing of measles appears frequently. In addition, because has easy for many years Crowd is accumulating the sense constantly, the whole crowd has not formed the immune protective screen yet, can't block the spread in the whole country of measles and virus effectively. So, launch the intensive immunity activity of Measles Vaccine in unison in the whole country, for dispel measles, guarantee the intersection of people and healthy, especially the intersection of children and healthy and the intersection of pertinence and tactics that adopt effective. (Li Ying)

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