Friday, July 13, 2012

Behind the ones that increase in vaccine incident

Behind the ones that increase in vaccine incident
Staff reporter Meng QingPu
Go from Beijing to Shanxi and then to Jiangxi, recently, the public health event initiated by vaccine inoculation is appearing constantly. Reporter Israel " Vaccine The incident " Search for in Internet as the keyword, over ten million results. Though investigation results of the incident all basically get rid of the causality of case and vaccine inoculation, but the appearance of each incident, will all initiate the public's safe query to vaccine. The expert says, with the enlargement of national immune planning, the vaccine incident smooth promotion of national immune planning increasing constantly is challenged.
The incident increases and is because of the vaccine inoculation amount to increase
"Vaccine incident increases, the immediate cause is quantity and increase which inoculates the pharmaceutical time of vaccine inoculation. " The immunity of Ministry of Public Health is planned an expert of expert's consultative committee and said, though the probability that vaccine inoculation meets accident is very low, but because vaccine of our country inoculates the quantity hugely at present, the absolute number that the little probability incident causes is certain to thereupon increase.
Take coincidence disease as examples. Coincidence disease is not that the immunization campaign unusually react, but easiest to present, also aptest to cause people to misunderstand. Coincidence disease mean, in a certain incubation period in disease person who plant, or there is basic disease not found yet, the coincidence has illness coming on after inoculating ' Recur or aggravate) ,So emergence and vaccine of coincidence disease are irrelevant. The inoculating rate of vaccine is the higher, varieties are the more, the bigger probability takes place in coincidence disease.
Immunization campaign the intersection of coincidence and disease in the course take place how loudly it will be probability? Have illness coming on as the example with children's coincidence. According to investigation, our country 0~4 year old children the ill rate is 17.4% in two weeks. After children inoculate vaccine, even it is safe to inoculate, within two future weeks, still about 17 children suffer from other diseases in every 100 children of vaccine inoculation. Though disease suffered from has nothing to do with vaccine inoculation, because and inoculates close relation on time, it is very easy to be misunderstand for the immunization campaign and unusually react. Take the common neonate and inoculate the vaccine coincidence death of hepatitis B and say, the neonate of our country (0~28 days) Mortality is 10.7%. ,The whole country was born every year children were about 16 million. According to this calculation, nearly there are 170,000 neonatal death every year in the whole country, namely nearly there are 466 neonatal death every day. According to the immune procedure regulation of vaccine of hepatitis B of our country, vaccine of hepatitis B inoculates in 24 hours after children were born in, with national neonatal the intersection of hepatitis B and the intersection of vaccine and first stitch in time ' In 24 hours after born ining) 75% of inoculating rate are calculated, the persons who nearly there are 350 neonatal death inoculate vaccine of hepatitis B every day, namely the neonate may present 350 cases of death of coincidence to inoculate vaccine of hepatitis B every day in the whole country.
And then see the abnormal state of different assortment vaccine and reflect the incidence. According to the research of World Health Organization, lymphnoditis that Bacillus Calmette-Guerin caused, osteomyelitis, it sows scattered diseases to be 100~1000/100 the intersection of pharmaceutical and time, 0.01~300/100 the intersection of pharmaceutical and time, 0.19~1.56/100 the intersection of pharmaceutical and time Wan Wan Wan respectively in incidence, hepatitis B anaphylactic shock that vaccine cause 1~2/100 the intersection of pharmaceutical and time Wan, hot convulsions, reducing, irritated response (not suffering from shock) of blood platelet that wind vaccine of measles leprosy rough cheek causes , it is anaphylactic shock, encephalopathy respectively 330/100 time, 30/100 time, 10/100 time, 1/100 time, <1/100 time Wan Wan Wan Wan Wan, anaphylactic purpura that Measles Vaccine cause 10/100 the intersection of pharmaceutical and time Wan, the whole cell 80~570/100 the intersection of pharmaceutical and time, 20/100 the intersection of pharmaceutical and time, 0~1/100 the intersection of pharmaceutical and time Wan Wan Wan respectively in epilepsy, anaphylactic shock, encephalopathy that vaccine cause in whooping cough, diphtheritis and tetanus. So as to calculate, a province born in about 700,000 children every year, after the country expanded immunity to plan, inoculate, exceed 7 million the intersection of pharmaceutical and time by one vaccine only one year, happen every year it reacts to be can less than 10 unusually seriously.
"In other words, any large provinces of people, if collect carefully at home, the children of the relation certainly have dozens of examples to disable the incident every year to cause injury if having time with vaccine inoculation. " Expert say the public, including media with this should have scientific understanding. From the viewpoint of public health, it is more insignificant that this kind of risk and not immune infectious disease that cause propagate the risk. For example, before not using vaccine, whooping cough is children's common disease and death reason, the intersection of whooping cough and morbidity in 100/10 above Wan, have close death, children of example, Wan in being great and prevailing in whom 1959 and 1963 appear from will it be 50 year the 20th century such as our country to the seventies. At present, the morbidity of whooping cough has already been dropped to under 1/100000. According to statistics, implement immunity plan, through inoculate vaccine, reduce measles, whooping cough, diphtheria, poliomyelitis, tuberculosis, tetanus disease, have illness coming on 300 million more than people, reduce 4 million dead people.

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