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疫苗效果免疫(感染)增强和免疫策略研究

龚震宇1; 翁景清1; 赵芝雅1; 兰锦清2; 陈毓土2; 林成巨2; 朱智勇1; 夏建华1; 季群伟2; 徐江荣2; 余新顺3; 汪垂章3; 王玮3   

  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
  • 出版日期:2000-06-20 发布日期:2000-06-20

Evaluation on the Efficacy of Vaccines against HFRS and Study on their Antibody Dependent Immunization Enhancement and Immunological Strategy in Zhejiang Province

Gong ZhenyuWeng; JingqingZhao; Zhiya; et al   

  1. Health and AntiEpidemic Station,Zhejiang Province,310009
  • Online:2000-06-20 Published:2000-06-20

摘要: 目的:观察肾综合征出血热(HFRS)乳鼠脑纯化Ⅰ型灭活疫苗在浙江省HFRS高发疫区大面积人群接种后的安全性,考核血清学及近期、中期流行病学效果。方法:采用间接免疫荧光法(IFAT)检测特异性IgG抗体,用微量细胞病变中和试验(MCPENT)检测中和抗体滴度。结果:共接种10 460人,全程接种者占97.30%,对照16 159人。全程接种后两周进行血清学观察,荧光抗体阳转率为100.00%(67/67),中和抗体阳转率为44.44%,几何平均滴度分别为72.12和4.62。1年后加强免前、免后两周和免后1年,荧光抗体阳性率分别为28.57%、83.33%、75.00%;中和抗体阳性率分别为14.80%、55.56%、35.00%。疫苗近期(基础免疫后1年)和中期(基础免疫后2年)流行病学防病效果良好,人群保护率达100%。目前未发现接种人群中有免疫(感染)增强问题。结论:HFRS疫苗近期和中期流行病学防病效果明显,取得良好的经济和社会效益。

关键词: 肾综合征出血热, 灭活疫苗, 预防效果, 免疫增强, 免疫策略

Abstract: Objective:Observe the safety, serological efficacy, shortterm and longterm epidemiological efficacy character of Type Ⅰ inactivated HFRS vaccine in population in the focus of HFRS with high incidence of HFRS in Zhejiang province. Methods used in antibody test: Immunofluorecent antibody assay was used in testing specific IgG antibody and McroCPE method was used in testing the titer of neutralizing antibody. Result: 10 460 people were vaccinated, 97.30% of them completed their vaccination of full doses. 16 159 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 seroconversion rate by immunofluorecent antibody test (IgG) and neutralization test were 100.00%(67/67) and 44.44%, the GMTs of them were 72.12 and 4.62 respectively. Before reinforce,two weeks and 1 year after reinforce. The rates of seroconversion of immunofluorescent antibody by IFA method were 28.57%, 83.33% and 75.00%. The rates of seroconversion of neutralizing antibody by the Mcro-CPE method were 14.80%,55.56% and 35.00%. According to the short-term (1 year after primary immunization) and middle-term (2 years after primary immunization) observation, the vaccine was effective, and his protection rate in population was 100.00%. Till now, we have not find any antibody dependent immunization enhancement phenomenon among the inoculated population. Conclusion:HFRS vaccine was epidemiologically effective in the short-term and middle-term.