发展中国家消灭乙型肝炎免疫接种计划实施指南(草案)——发展中国家控制乙肝国际会议文件(1991年10月)

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策略一般注意事项世界上四分之三的人口生活在中或高乙肝流行区。因此,唯一的策略就是有效地减少HB的流行,最终消灭HB。这个策略就是把婴儿的乙肝免疫接种纳入EPI。已经制订了针对特定人群,特别是乙肝低流行区的特定人群的免疫接种程序,但对乙肝的总的流行态势不会有重大影响。特定人群中的多数,如静脉药物嗜毒者和同性恋者是不易接受疫苗接种的。保健工作者中也只有一部分人接受疫苗接种。实际上,对高危成人免疫接种遇到的困难是:他们不愿接受免疫。对青少年也遇到同样的问题。作 Strategy General Considerations Three-quarters of the world’s population live in areas with high or high hepatitis B prevalence. Therefore, the only strategy is to effectively reduce the prevalence of HB, eventually eliminating HB. The strategy is to include infants’ hepatitis B vaccination in the EPI. An immunization program has been developed for specific populations, particularly those in areas with low-grade hepatitis B, but will not have a significant impact on the overall prevalence of hepatitis B. Majorities in a particular population, such as intravenous drug addicts and homosexuals, are less receptive to vaccination. Only a few of the health care workers receive vaccinations. In fact, the challenge with immunizations for high-risk adults is that they are unwilling to receive the immunizations. The same problem is encountered for young people. Make
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