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Evolution of Acquired Humoral Immunity after Full Vaccination against SARS-CoV-2. IgG Levels in Healthcare Workers at 6 and 9 Months 全面接种SARS-CoV-2后获得性体液免疫的进化医护人员6个月和9个月IgG水平
Pub Date : 2023-01-01 DOI: 10.21203/rs.3.rs-2093702/v1
Victoria Delicado-Useros, Esther Navarro-Rodenas, Indalecio-M Sánchez-Onrubia, Carmen Ortega-Martínez, Antonia Alfaro-Espín, J. Pérez-Serra, F. García-Alcaraz, Julia Lozano-Serra, Lorena Robles-Fonseca, Teresa Pérez-Domenech
Background: The COVID-19 pandemic continues to be a major worldwide health problem. The present study aims to contribute to surveillance of the immune and clinical response of vaccines to SARS-CoV-2. Methods Observational study of medication on acquired immunity and effectiveness of vaccines. Population: 620 workers in the health service of Almansa (Spain). Representative sample of 150 individuals. Sociodemographic, clinical, and epidemiological data and samples were recorded to determine anti- SARS-CoV2 serum IgG levels 6 and 9 months after vaccination with Pfizer. Results Mean age 46.45 years;76% women;85.1% working in a hospital. 19.3% had had COVID-19 in the year prior to vaccination. 96.7% were fully vaccinated with Pfizer/BioNTech. At 6 months, 100% seropositivity and mean IgG levels of 3017.2 AU/ml. Significant variations in IgG levels in individuals with prior COVID-19 infection and smokers. At 9 months, 99.3% remained seropositive;2.8% infected after vaccination. The repeated measures analysis showed a difference in means of 669.0 AU/ml (significant decrease in IgG levels of 28.9%). Conclusion Antibody levels remained positive 6 and 9 months after vaccination, although IgG levels were found to decay.
背景:2019冠状病毒病大流行仍然是一个重大的全球卫生问题。本研究旨在监测疫苗对SARS-CoV-2的免疫和临床反应。方法观察用药对获得性免疫和疫苗有效性的影响。人口:阿尔曼萨保健服务人员620人(西班牙)。150个人的代表性样本。记录社会人口学、临床和流行病学资料和样本,以确定接种辉瑞疫苗后6个月和9个月的抗SARS-CoV2血清IgG水平。结果平均年龄46.45岁,女性占76%,85.1%在医院工作。19.3%的人在接种疫苗前一年感染了COVID-19。96.7%的人完全接种了辉瑞/BioNTech疫苗。6个月时,100%血清阳性,平均IgG水平3017.2 AU/ml。既往COVID-19感染个体和吸烟者中IgG水平的显著差异在9个月时,99.3%的人仍呈血清学阳性,2.8%的人在接种疫苗后感染。重复测量分析显示,两组差异均值为669.0 AU/ml (IgG水平显著降低28.9%)。结论接种后6个月和9个月抗体水平保持阳性,IgG水平下降。
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引用次数: 1
Thinking Out-of-Box in Addressing Communication and Service Delivery Challenges: Use of a Traditional Communication Method for Improving Immunization Coverage in Remote Rural Hard-to-Reach Areas of India 打破思维定式解决通信和服务提供方面的挑战:利用传统通信方法提高印度偏远农村难以到达地区的免疫覆盖率
Pub Date : 2023-01-01 DOI: 10.4236/wjv.2023.131001
I. Hossain, Parthasarathi Ganguli, Chahat Narula Thakur, R. Steinglass, Brian Castro, L. Shimp, Saumen Bagchi, Anita Bhargava
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引用次数: 1
Associated Factors with Vaccination among Girls Aged between (11) and (13) against Papillomaviruses in Koumpentoum Health District (Senegal) Koumpentoum卫生区(塞内加尔)11至13岁女童乳头瘤病毒疫苗接种的相关因素
Pub Date : 2022-01-01 DOI: 10.4236/wjv.2022.122003
E. Diop, Abdoul Aziz Ndiaye, Martial Coly Bop
Introduction: Cervical cancer can be prevented by early vaccination of young people against papillomaviruses and screening for precancerous le-sions. After a successful pilot phase, vaccination coverage in the generaliza-tion phase is low. The aim of this study was to determine papillomavirus vaccination coverage and to identify associated factors. Methods: This was a cross-sectional, descriptive and analytical study conducted from (1 st ) to (31 th ) September (2020) in Koumpentoum district. After a literature review, we conducted two-stage cluster sampling and direct structured interviews. Socio-demographic characteristics, knowledge, attitudes, and practices of mothers or guardians about papillomaviruses vaccination were collected us-ing a standardized questionnaire. Multiple logistic regression was used to es-timate odds ratios. Results: A total of (228) mothers or guardians were interviewed. Coverage for the first dose was (44.74%) CI 95% (38.17 - 51.44) com-pared to (25.88%) CI 95% (19.52 - 31.17) for the second dose. Factors statistically and significantly associated with coverage of the first dose of papillomaviruses vaccine were instruction of mothers or guardians (OR =
简介:宫颈癌可以通过早期接种乳头瘤病毒疫苗和筛查癌前病变来预防。在成功的试点阶段之后,推广阶段的疫苗接种覆盖率很低。本研究的目的是确定乳头瘤病毒疫苗接种覆盖率并确定相关因素。方法:本研究是一项横断面、描述性和分析性研究,于2020年9月1日至31日在Koumpentoum地区进行。在文献综述之后,我们进行了两阶段的整群抽样和直接结构化访谈。使用标准化问卷收集母亲或监护人关于乳头瘤病毒疫苗接种的社会人口特征、知识、态度和做法。多元逻辑回归用于估计比值比。结果:共访谈了228名母亲或监护人。第一剂覆盖率为(44.74%)CI 95%(38.17 - 51.44),第二剂覆盖率为(25.88%)CI 95%(19.52 - 31.17)。与第一剂乳头瘤病毒疫苗覆盖率有统计学显著相关的因素是母亲或监护人的指示(or =)
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引用次数: 0
Prevaccination Antibody Confers Additional Immune Responses to Repeated Yearly Influenza Vaccination in an Elderly Population 预防接种抗体对老年人每年重复接种流感疫苗有额外的免疫反应
Pub Date : 2022-01-01 DOI: 10.4236/wjv.2022.122002
S. Kitamura, N. Komatsu, Masahide Matsushita, H. Seo, Seisho Takeuchi
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引用次数: 0
Thermal Treatment of a Novel Saponin-Cholesterol Nanoparticle Vaccine Adjuvant Named NanoQuil F70 Secures a Uniform Morphology and Size Distribution 新型皂苷-胆固醇纳米颗粒疫苗佐剂NanoQuil F70的热处理确保了其均匀的形态和大小分布
Pub Date : 2022-01-01 DOI: 10.4236/wjv.2022.121001
Ke-fei Hu, L. Duroux, E. B. Lindblad
Quil-A and cholesterol can, under certain conditions, form nanoparticles, but the conditions for the formation of a homogeneous population of a particular kind of particles with the same morphology and size have remained elusive. However, a well-defined uniformity, as well as a high degree of batch-to-batch consistency, are prerequisites for adjuvant formulations to be used for practical vaccines. To accomplish the above stated tasks in the present study, we demonstrated that Quil-A and cholesterol form well-defined worm-like stable particles with a mean diameter of around 40 nm by dynamic light scattering (DLS) under carefully controlled thermodynamical conditions with little or no Quil-A degradation. The nanoparticles thus prepared possessed a significantly reduced hemolytic effect in comparison to unformulated free Quil-A. However, when the same conditions were applied to QS-21/cholesterol nanoparticle formation the morphology achieved was coil spring-like particles with a mean diameter of around 70 nm. This discrepancy in particle morphology and size was attributed to the differences in hydrophobicity of the Quil-A, being a heterogenic fraction of acylated as well as deacylated saponins, and the QS-21. With the process optimizations leading to a standardized particle size distribution and nanoparticle morphology presented here, NanoQuil F70 holds the potential as a well-tolerated vaccine adjuvant for veterinary use raising a Th1/Th2 balanced immune response.
quila和胆固醇在一定条件下可以形成纳米颗粒,但形成具有相同形态和大小的特定颗粒的均匀种群的条件仍然难以捉摸。然而,明确定义的均匀性以及批与批之间的高度一致性是佐剂配方用于实际疫苗的先决条件。为了完成本研究的上述任务,我们在严格控制的热力学条件下,通过动态光散射(DLS)证明了Quil-A和胆固醇形成了定义明确的蠕虫状稳定颗粒,平均直径约为40 nm, Quil-A很少或没有降解。与未配制的游离Quil-A相比,制备的纳米颗粒具有显著降低的溶血作用。然而,当同样的条件应用于QS-21/胆固醇纳米颗粒形成时,所获得的形貌是平均直径约为70 nm的螺旋弹簧状颗粒。这种颗粒形态和大小的差异归因于Quil-A和QS-21的疏水性差异,Quil-A是酰基化和去酰基化皂苷的异种组分。随着工艺优化导致标准化的颗粒大小分布和纳米颗粒形态,NanoQuil F70具有作为一种良好耐受的疫苗佐剂的潜力,可用于兽医,提高Th1/Th2平衡的免疫反应。
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引用次数: 0
Rethinking Strategies to Address Inequity in Immunization Services towards Achieving Universal Immunization Coverage (UIC) in Karachi, Pakistan 重新思考解决免疫服务不公平问题的战略,以实现巴基斯坦卡拉奇的普遍免疫覆盖
Pub Date : 2021-10-08 DOI: 10.4236/wjv.2021.114006
I. Hossain, T. Masood, Akram Sultan, R. Safdar, H. Setayesh, L. Shimp, Soofia Younus
Karachi, the largest city in Pakistan, having high population growth and a complex health care environment, has highest density of unimmunized (zero dose) and under-immunized children. The main reasons of low immunization coverage in Karachi were lack of governance and accountability in a duplicative and fragmented health management structure, weak and inequitable immunization services, and lack of demand and trust among people for immunization services. The Expanded Programme on Immunization (EPI), Ministry of Health (MOH) in Sindh Province spearheaded a structured and collaborative process to develop strategies for addressing inequity in immunization services towards achieving Universal Immunization Coverage (UIC) in Karachi. The process included a situation analysis with gathering quantitative and qualitative information on the root causes of zero-dose and inequity of the immunization services. The strategies and interventions were developed with multi-layer input and feedback of the stakeholders and partners, and focusing primarily to address gaps in three program areas: governance, leadership and accountability; immunization service delivery; and building demand and trust among the people. The interventions were further prioritized for high-risk areas; identified based on maximum number zero-dose children, presence of large slum areas, measles outbreak and on-going circulation of wild poliovirus. Finally, costing for the Roadmap activities was done through consultation with partners and aligning domestic and external (donor) resources. In this paper, we have highlighted the unique process the Sindh Government undertook in collaboration with the stakeholders and partners to develop strategies and interventions for addressing inequity in urban immunization services in Karachi towards achieving Universal Immunization Coverage (UIC). Similar processes can be adapted, as a potential model, for developing strategies to achieve universal health coverage in the cities of Pakistan and in other countries.
卡拉奇是巴基斯坦最大的城市,人口增长率高,卫生保健环境复杂,未接种(零剂量)和免疫不足的儿童密度最高。卡拉奇免疫覆盖率低的主要原因是卫生管理结构重复和分散,缺乏治理和问责制,免疫服务薄弱和不公平,以及人们对免疫服务缺乏需求和信任。信德省卫生部的扩大免疫计划率先开展了一个结构化的合作进程,制定了解决免疫服务不公平问题的战略,以实现卡拉奇的全民免疫覆盖。这一过程包括形势分析,收集关于零剂量和免疫服务不公平的根本原因的定量和定性信息。战略和干预措施是在利益相关者和合作伙伴的多层次投入和反馈下制定的,主要侧重于解决三个方案领域的差距:治理、领导力和问责制;提供免疫服务;以及在人民中建立需求和信任。干预措施进一步优先针对高风险地区;根据零剂量儿童的最大数量、大型贫民窟的存在、麻疹爆发和野生脊髓灰质炎病毒的持续传播确定。最后,路线图活动的成本计算是通过与合作伙伴协商并调整国内外(捐助者)资源来完成的。在本文中,我们强调了信德省政府与利益相关者和合作伙伴合作制定战略和干预措施的独特过程,以解决卡拉奇城市免疫服务中的不公平问题,实现全民免疫覆盖(UIC)。类似的过程可以作为一种潜在的模式,用于制定战略,在巴基斯坦和其他国家的城市实现全民健康覆盖。
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引用次数: 1
Universal COVID-19 Vaccine Targeting SARS-CoV-2 Envelope Protein 靶向SARS-CoV-2包膜蛋白的通用新冠肺炎疫苗
Pub Date : 2021-07-08 DOI: 10.4236/wjv.2021.113003
Chung-Min Tsai
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引用次数: 2
Analysis of 472,688 severe cases of COVID-19 in Brazil showed lower mortality in those vaccinated against influenza 对巴西472,688例COVID-19重症病例的分析显示,接种流感疫苗的人死亡率较低
Pub Date : 2021-05-14 DOI: 10.1101/2021.05.11.21257053
D. Sardinha, D. D. C. Lobato, A. L. Ferreira, K. Lima, R. Guimarães, L. N. Lima
Objective: To analyze the severe cases of COVID-19 in Brazil in 2020 and compare those vaccinated and unvaccinated against influenza in invasive ventilation, admission in Intensive Care Unit (ICU), and deaths. Method: Cross-sectional study with public data from the OpenDataSUS platform confirmed severe cases for COVID-19 in Brazil in the year 2020. Data were analyzed by SPSS, from the chi-square test of independence and binary logistic regression. Results: The population was 472,688 cases and 177,640 deaths, with lethality of 37.58% in severe cases. The test of independence was highly significant in vaccinated survivors (<0.0001), and regression showed an almost twofold odds ratio for invasive ventilation, ICU admission, and death in unvaccinated cases. Conclusion: We recommend mass influenza vaccination as an adjuvant in combating the COVID-19 pandemic in Brazil.
目的:分析2020年巴西新冠肺炎重症病例,比较在有创通气、重症监护室(ICU)住院和死亡中接种和未接种流感疫苗的患者。方法:利用OpenDataSUS平台的公共数据进行交叉研究,2020年巴西确诊了新冠肺炎重症病例。数据采用SPSS进行独立性卡方检验和二元逻辑回归分析。结果:总人口为472688例,死亡177640例,重症死亡37.58%。独立性测试在接种疫苗的幸存者中非常显著(<0.0001),回归显示,在未接种疫苗的病例中,有创通气、ICU入院和死亡的优势比几乎是两倍。结论:我们建议在巴西接种大规模流感疫苗作为抗击新冠肺炎大流行的辅助疫苗。
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引用次数: 4
Seroconversion of Hepatitis B Vaccine in Young Bangladeshi Children: A Tertiary Centre Experience 孟加拉国儿童乙型肝炎疫苗血清转化:三级中心经验
Pub Date : 2021-03-09 DOI: 10.4236/WJV.2021.112002
S. Mahmud, Jahida Gulshan, Farhana Tasneem, Syed Shafi Ahmed
Background: Hepatitis B virus (HBV) infection is one of the most important global health problems and active immunization is the single most important and effective preventive measure against HBV infection. Several studied show that HBV carrier rate is between 2% - 7% in Bangladesh. Bangladesh introduced hepatitis B vaccination in children through Expanded Program on Immunization (EPI) in 2005 that includes 3 doses which starts from six weeks after birth. Currently booster vaccination is not recommended any more. However, many studies on different countries observed a declined level of HBs-antibody over a period of 3 - 6 years that may even reach to non-protective levels. Objective: To evaluate the status of seroconversion and seroprotection along with non-responders of EPI vaccinated children against HBV and to measure their antibody levels in different age groups. Methods: A cross sectional descriptive study was done in the department of Pediatric Gastroenterology, Hepatology & Nutrition, Dhaka Shishu (Children) Hospital, Dhaka, Bangladesh on 120 cases of EPI vaccinated children enrolled from January-December 2019 while attending the inpatient department without any liver problem. The development of Anti-HBs titre greater than or equal to 10 mIU/mL is considered as protective immunity and any titre less than 10 mIU/mL as non-protective following HBV vaccination. Results: Age of the children was 1 - 12 years with mean age of 5.6 ± 1.7 years and male: female ratio was 1.1:1. Among the children, 56 (46.6%) were from 1 - 5 years age, 36 (30.1%) children from 6 - 10 years age group and 27 (23.3%) children from 11 - 12 years age group. Out of 120 children, presence of Anti-HBs protective titre was in 63 (52.5%) children and non-protective level in 57 (47.5%) children. Among protective level, 34 (60.7%) children were in 1 - 5 years age group, 18 (50.0%) children in 6 - 10 years age group and 11 (39.3%) children in 11 - 12 years age group. Total 24 (20%) children were completely non-responder (antibody titre 0.00 mIU/mL). Out of 120 mother, 06 (5%) were HBV positive. Among them 05 (83.33%) children had Anti-HBs less than 10 mIU/mL. Conclusion: After primary vaccination, a good immune response was detected against hepatitis B virus but it goes below even up to non-protective level with the increase of age. Half of the studied children had non-protective titre after 5 years and one-fifth children totally non-responder after primary hepatitis B vaccination. A booster dose may be recommended after 5 years for optimum seroprotection.
背景:乙型肝炎病毒(HBV)感染是全球最重要的健康问题之一,主动免疫是预防HBV感染最重要、最有效的措施。几项研究表明,孟加拉国的HBV携带者率在2%-7%之间。孟加拉国于2005年通过扩大免疫计划在儿童中接种了乙型肝炎疫苗,其中包括从出生后六周开始的三剂疫苗。目前不建议再接种加强针。然而,许多对不同国家的研究观察到,在3-6年的时间里,HBs抗体水平下降,甚至可能达到非保护性水平。目的:评价不同年龄段儿童乙型肝炎疫苗接种后血清转化率、血清保护及无应答情况,并测定其抗体水平。方法:在孟加拉国达卡Shishu(儿童)医院儿童胃肠、肝病和营养科对2019年1月至12月在没有任何肝脏问题的住院部登记的120例接种了EPI疫苗的儿童进行了横断面描述性研究。抗-HBs滴度大于或等于10 mIU/mL被认为是保护性免疫,任何滴度小于10 mIU/mL的都被认为是HBV疫苗接种后的非保护性免疫。结果:儿童年龄1~12岁,平均5.6±1.7岁,男女比例为1.1:1。其中,1-5岁儿童56名(46.6%),6-10岁儿童36名(30.1%),11-12岁儿童27名(23.3%)。在120名儿童中,63名(52.5%)儿童存在抗-HBs保护性滴度,57名(47.5%)儿童无保护性滴度。在保护水平中,1-5岁年龄组34名(60.7%)儿童,6-10岁年龄组18名(50.0%)儿童,11-12岁年龄组11名(39.3%)儿童。总共有24名(20%)儿童完全没有反应(抗体滴度0.00 mIU/mL)。在120名母亲中,有06名(5%)为HBV阳性。其中抗-HBs低于10mIU/mL的儿童有5例(83.33%)。结论:初次接种疫苗后,对乙型肝炎病毒有良好的免疫反应,但随着年龄的增长,免疫反应低于甚至达到非保护性水平。一半的研究儿童在5年后出现非保护性滴度,五分之一的儿童在接种原发性乙型肝炎疫苗后完全没有反应。5年后可推荐加强剂量,以获得最佳血清保护。
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引用次数: 3
The Art of Oncoimmunovaccinomics 肿瘤免疫疫苗学的艺术
Pub Date : 2021-01-01 DOI: 10.4236/wjv.2021.114007
Taruna Ikrar, Dito Anurogo
The art of oncoimmunovaccinomics will be concisely explained herein. This scientific insight will explore its history cancer immunotherapy, the molecular basis of cancer immunotherapy, cancer immunotherapeutic approach, cancer immunosurveillance and immunoediting, the hallmarks of cancer (can be) revisited, nanotechnology-based cancer immunovaccinomics, the theory of and immunogenomic perspectives.
这里将简明地解释肿瘤免疫疫苗学的艺术。这一科学见解将探讨癌症免疫治疗的历史、癌症免疫治疗的分子基础、癌症免疫治疗方法、癌症免疫监测和免疫编辑、癌症(可以)重新审视的特征、基于纳米技术的癌症免疫疫苗组学、理论和免疫基因组学的观点。
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引用次数: 1
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疫苗(英文)
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