Behind the ones that increase in vaccine incident

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 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 means that is in incubation period of a certain disease the persons who plant, or the basic disease not found yet exists, 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. How greatly probability takes place in coincidence disease in course of immunization campaign? 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 , shocks anaphylactic, encephalopathy respectively 330/100 Wan pharmaceutical time, 30/100 time, 10/100 time, 1/100 time, <1/100 time 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. Can not parents' function ignore emergence how to reduce the suspected immunization campaign to unusually react? May think that suspected immunization campaign react unusually emergence by expert with vaccine, immunization campaign implement and individual many kinds of factors have something to do person who plant. Happen in order to reduce it, except strengthening vaccine production and managing, standardizing the immunization campaign service, parents' function can't be ignored either. First of all, parents should take child to the qualified immunization campaign clinic that the government department assert and carry on the immunization campaign, should offer health status of person who plant accurately to inoculate personnel before inoculation, so that staff members judge whether can inoculate. If present the suspicious situation after finding and inoculating, should consult and inoculate staff members immediately, seek medical advice if necessary, in order to get and deal with correctly in time. For example until neonate inoculate vaccine, parents need, cooperate, inoculate personnel, finish to neonatal inquiries test and general health examination of health status, offer the neonatal health status, how much are including mature natural labor, birth weight when born in, the neonate was born and mark the situation, whether had inborn inborn defects, whether suffered from a certain disease,etc. now, in order to inoculate personnel and grasp the taboo of vaccine inoculation correctly, and determine whether to inoculate vaccine or not. The expert points out, before inoculating vaccine, parents should pay special attention to child's having the following situations, and inoculate under inoculating personnel's guidance. Acute disease: If parents find children are having a fever, especially generate heat at over 37.6 ℃ person, or with the children of other obvious symptoms at the same time, should postpone vaccine inoculation. The child recovers and inoculates vaccine after recuperating in some time. In addition, if the child is in a certain acute disease during the illness or convalescence, in a certain chronic acute the intersection of outbreak and issue of disease, should postpone inoculation of vaccine, wait for children to recover and inoculate vaccine. Allergic physique: Specific children have allergic physique, easy to be ignored by parents, it is allergic that it can be caused that the children with allergic physique are even after vaccine inoculation The response, lead to the fact that the consequence of the bad reaction takes place. What is called irritated physique, mean children contact a certain material repeatedly, apt to take place the intersection of organism and irritated response, corresponding symptom appears, among them the anaphylactic rash is the most common. If find that the allergic response has taken place to inoculate a certain vaccine in the past, should stop inoculating. The immunological function is not complete: It is generally acknowledged, children do not have complete immunological function, not merely the healthier people of the result are bad after the immunization campaign, and apt to cause the bad reaction, especially while inoculating vaccine alive. The more serious immunological functions do not all include the immune defect ' Have / low gamma globulin blood disease) , leukemia, lymphoma, malignant tumour when. If children are easy to infect repeatedly, after infect often with symptoms such as generating heat, the rash and enlargement of lymph nodes,etc., should suspect to have possibility not complete of immunological functions, need very carefully at the time of vaccine inoculation. Nervous system illness: The person with disease of nervous system inoculates some vaccine and has certain danger, so the children who have already suffered from disease of nervous system clearly, for example suffer from diseases such as epilepsy, encephalopathy, hysteria, encephalitis sequela, twitch or faint from fear,etc., should inoculate vaccine prudently under the guidance of doctor. It is very important to strengthen vaccine and manage, standardize the immunization campaign service. Disease accuse of the organization, inoculates the unit and should buy, store, transport vaccine according to relevant regulations strictly. Inoculating personnel should inoculate and serve according to the norm strictly, including telling, carrying out the immune procedure or inoculating the scheme, observing after inoculating before inoculating, the suspicious response is dealt with and reported etc. in time after inoculating. Set up to essential press spokesman of Ministry of Public Health of relief mechanism Deng HaiHua and talk at the news briefing that was held a few days ago, to 1 billion pharmaceutical quantity of vaccine inoculation once in the annual our country, though the incidence unusually reflected in vaccine inoculation is very low, but once happen, reach a certain child, a certain family specifically, that is true and a hundred per cent, these children are unfortunate. China's disease accuses of centre's meeting an urgent need to do to director Feng ZiJian to say, says with the present biological engineering level, immunization campaign it reacts to be for set up a corresponding one to cost that immune protective screen might demand of disease a certain in crowd unusually. To these children damaged, most countries have made the corresponding regulation, in order to enable them to receive corresponding compensation. In our country, according to " vaccine circulation and immunization campaign management rule " that was implemented from June 1, 2005, cause by the fact that the immunization campaign unusually reacts and was damaged by the death, serious deformity or organ tissue of the persons who plant, should offer disposable compensation. The concrete compensation method is made by the provincial government. Among them, the compensation arising from inoculating the first type vaccine, the expenses are undertaken by the government. The compensation arising from inoculating the second type vaccine, the expenses are undertaken by the relevant vaccine manufacturing enterprise. It is reported in the domestic existing part of province, at present that makes the clear compensation method or regulation. Basic principle its, according to injure situation and one the intersection of expenditure,etc. and factor, each person of annual mean, in the area under one's jurisdiction person who plant, presume that compensates the limit. On the aspect of central government, Ministry of Public Health has issued the relevant policy together with the related departments, for instance 8 departments such as Ministry of Public Health, Ministry of Education make the rehabilitation instruction directed against the relevant case of polio vaccine in 2008, demand, help eligible patient and their family enjoy basic the intersection of life and succour, the intersection of parents and the intersection of regeneration and educate, medical rescue and the intersection of deformity and the intersection of person who look after and policy of according to regulation. The expert thinks, must result in unusually reflecting the increased situation in the face of pharmaceutical increase once of vaccine inoculation, every provincial government should issue the corresponding compensation method as soon as possible, include it in legal orbit. In addition, should explore other relief forms in which the immunization campaign unusually react and compensate actively, such as set up and unusually reflect that compensates funds,etc.. The fund source is unusually reflected and happened probability according to vaccine sales volume and vaccine of the previous year by the vaccine manufacturing enterprise, collected by the related departments of the government, collect the expenses to charge to the vaccine production cost, society or individual can also offer voluntarily. Want many kinds of compensation channels to develop simultaneously, in order to make those unfortunate families really receive deserved compensation.


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