台湾青少年麻疹抗体保护现状及免疫记忆评价

Lin Yi-Yun
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摘要

麻疹病毒是一种高度传染性的病毒,在发展中国家或未接种疫苗的国家仍可造成死亡。台湾政府于1978年全面推行麻疹疫苗。由于麻疹疫苗的高接种率和医疗保健的高度发展,麻疹病例急剧下降。然而,世界卫生组织统计报告也指出,2018年全球麻疹病例增加超过11万例,2019年前5个月台湾发现89例麻疹确诊病例。收集969例接种麻疹疫苗的健康青少年麻疹抗体疗效数据并进行分析。本研究探讨了在1998年至2002年期间出生的接种过麻疹疫苗的几代人中,16岁至17岁的有效麻疹抗体保护比例。16岁零6个月~ 17岁零5个月麻疹抗体阳性率为57.48%。这项研究发现,即使在疫苗接种覆盖率高的国家,现代青少年的麻疹抗体保护率也不够;这可能解释麻疹暴发的可能性,并可作为未来评估成人麻疹疫苗接种政策的基础。
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Status of Measles Antibody Protection and Immune Memory Evaluation for Teenagers in Taiwan
Measles virus is a highly contagious virus that can still cause death in developing or unvaccinated countries. The Taiwanese government fully implemented the measles vaccine in 1978. Due to the high vaccinated rate of measles vaccination and the high development of medical care, measles cases have fallen sharply. However, World Health Organization statistics report also pointed out that the number of global measles cases increased by more than 110,000 in 2018, and 89 measles confirmed cases were discovered in Taiwan in the first five months of 2019. The measles antibody efficacy data of 969 healthy MV-vaccinated adolescents were collected and analyzed. This study explores the proportion of effective measles antibody protection in MV-vaccinated generations born in the period between 1998 and 2002 to their age of 16 and 17-years-old. Overall, the prevalence of measles antibody was 57.48% to their aged 16 years and 6 months to 17 years and 5 months old. This study observed the rate of measles antibody protection in modern adolescents is not sufficient even in the country with a high level of vaccination coverage; this may explain the possibility of measles outbreak and can be a basis for future evaluation of adult measles vaccination policy.
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