An analysis on the surveillance results of safety of post-marketing immunization of varicella attenuated live vaccine in Henan Province / 预防医学

Objective To analyze the characteristics of adverse reactions for varicella attenuated live vaccine (VarV) in Henan Province from 2011 to 2016, in order to evaluate the immunization safety related to VarV. Methods The adverse reaction data and vaccination doses of VarV in Henan Province from 2011 to 2016 were collected through the China Information Management System for Immunization Programming. The descriptive methodology was used for data analysis. Results A total of 686 adverse reactions cases were reported in Henan Province from 2011 to 2016, and the average reported incidence rate was 16.89 per 100000 dose. The ratio of male to female was 1.14:1, and 80.61% cases occurred between 1 and 2 years old, and the reported incidence rate was 13.62 per 100000 dose. And 32.80% cases were reported from April to June, and the reported incidence rate was 5.54 per 100000 dose. The cases were mainly concentrated in Zhengzhou, Luoyang, Zhoukou and Xinyang. Most cases occurred after the first dose and within 1 d after vaccination. The main diagnoses of adverse reactions were fever, local swelling, indurations and transient anaphylactic disorders. The reported incidence rate of anaphylactic shock and fever convulsion were 0.37 per 100000 dose and 0.12 per 100000 dose respectively. All cases were recovered or got better. Conclusion The safety of VarV was good in Henan Province. However, the surveillance should focus on the anaphylactic shock and fever convulsion and other serious rare adverse reaction.

Investigation on the Freshmen’Status of the Preventive Vaccination Against Hepatitis B in A University of Ankang City in 2 0 0 3~2 0 1 4 / 现代检验医学杂志

Objective To understand the freshmen’s status of hepatitis B virus infection,immunological effect after vaccina-tion against hepatitis B from a university in Ankang city,to provide a scientific basis for university’s prevention from hepati-tis B.Methods Analyzed the results of five markers of hepatitis B virus infection and alanine aminotransferase (ALT)of 25 895 freshmen in a college in Ankang for resent 12 years,and observed the HBsAb serocoversion in serum 1 year after vacci-nation against hepatitis B and after strengthened immunity.Results The HBeAg positive rate of the freshmen was 4.07%, among which the male was 5.58% (281/5 035),and the female was 3.14% (258/8 214).The difference had significance of statistic (P<0.05).The college students’HBeAg positive rate from rural area and from urban area were 4.77% and 2.93%respectively,the difference had significance of statistic (P<0.05).There was no significant statistic difference in immune effect of hepatitis B vaccine for different sex (χ2=5.80,P<0.05).Their HBsAb positive rate was 95.15% after injected with 10μg hepatitis B and 5μg hepatitis B vaccine,which had significance of statistic (P<0.05).Conclusion The hepatitis B virus infection rate and the hepatitis B protective antibody of the college freshmen in Ankang district was lower than that of the whole country and had a decreased tendency.It showed the male’s infection rate of hepatitis B virus was higher than the female,the rural was higher than the urban,and the immune effect of hepatitis B vaccine proved to be good.It should be-strengthened immunity for non-responders to ensure the immune effect if necessary.

Review on domestic published papers regarding the acute disseminated encephalomyelitis and its relations with rabies vaccination / 中华流行病学杂志

To explore whether the case of acute disseminated encephalomyelitis (ADEM) who had been inoculated with rabies vaccination reported in domestic literatures were related to the vaccination.Data on 1368 cases of ADEM (from 99 papers) were collected by computer from the Chinese Journal Full-text Database in CNKI and Wanfang database with the key words of acute disseminated encephalomyelitis/rabies vaccination/abnormal reaction in preventive vaccination during 1995 and 2011.All the cases were divided into the two queues according to the situation of rabies vaccination.Cohort study was used to analyze the relations between ADEM and vaccination.The incidence of ADEM,standardized by age that having received immunization with rabies vaccine,was 9.41/1 million person year,higher than 0.29/1 million person year (u=428.35,P＜0.01) among those who had not.Among people who had been inoculated,the adjusted RR value of cause ADEM was 31.05 (95％ CI:26.33-36.62).RR values increased along with the times of rabies vaccine injection.Correlation was seen between inoculated rabies vaccine and ADEM.

Research on Relief System of Abnormal Reaction in Preventive Vaccination / 中国医学伦理学

Abnormal reaction in preventive vaccination is the serious adverse reaction happened in regular vaccination. Department of government and producer of vaccines are liable legislatively. In my opinion, relief fund for abnormal reaction should be established to cover the damage of victims and to decrease the risk of government and enterprises.