Vaccination is a key strategy to curb the spread of epidemics.Heterologous vaccination,unlike homologous vaccination which acts on a single target and forms a single immune barrier,covers multiple targets for broader ...Vaccination is a key strategy to curb the spread of epidemics.Heterologous vaccination,unlike homologous vaccination which acts on a single target and forms a single immune barrier,covers multiple targets for broader protection.Yet,heterologous vaccination involves a complex decision process that conventional game-theoretic approaches,such as classical,evolutionary,and minority games cannot adequately capture.The parallel minority game(PMG)can handle bounded-rational,multi-choice decisions,but its application in vaccine research remains rare.In this study,we propose a vaccination-transmission coupled dynamic mechanism based on the parallel minority game and simulate it on a two-dimensional lattice.Using actual observational data and a mean-field mathematical model,we verify the effectiveness of this mechanism in simulating realistic vaccination behavior and transmission dynamics.We further analyze the impact of key parameters,such as vaccine efficacy differences and the proportion of individuals eligible for vaccine switching,on containment effectiveness.Our results demonstrate that heterologous vaccination surpasses homologous vaccination in containment effectiveness,particularly when vaccine efficacy varies significantly.This work provides a novel framework and empirical evidence for understanding individual decision-making and population-wide immunity formation in multi-vaccine settings.展开更多
Hepatitis B virus (HBV) chronic infection represents a significant cause of morbidity and mortality worldwide. While traditional intramuscular (IM) HBV vaccination is an excellent method for robust and sustained seroc...Hepatitis B virus (HBV) chronic infection represents a significant cause of morbidity and mortality worldwide. While traditional intramuscular (IM) HBV vaccination is an excellent method for robust and sustained seroconversion in healthy individuals, its efficacy in chronic liver disease is sub-optimal and scant data exists in the post-liver transplant state. Importantly, HBV complications are even more severe in these same immunocompromised populations. Intra-dermal (ID) vaccination has shown initial promise as a successful alternative to achieving HBV seroconversion in patients refractory to standard vaccination protocols. Herein is a case report of a 61 year-old female who underwent liver transplantation for chronic HBV infection and achieved HBsAg seroconversion with a robust HSsAb titer with ID vaccination after having failed both standard and double dose IM vaccination.展开更多
Background:Invasive meningococcal disease is a potentially life-threatening infection caused by Neisseria meningitidis.Vaccination is highly effective in preventing meningitis and reducing its associated complications...Background:Invasive meningococcal disease is a potentially life-threatening infection caused by Neisseria meningitidis.Vaccination is highly effective in preventing meningitis and reducing its associated complications.This study aims to assess the United Arab Emirates(UAE)parents meningitis knowledge and explore vaccination attitudes and practices.Methodology:An observational cross-sectional study was conducted between March and May 2024 across the UAE using convenience sampling through social media,electronic mail,and word of mouth.A 58-item questionnaire collected information regarding demographics,meningitis knowledge,attitudes and practices,and meningococcal vaccination knowledge and practices.Results:Of 443 parents included,more than a third had no knowledge about meningitis.Symptoms and severity were well-recognized overall,but clear gaps were evident regarding complications and meningococcal vaccines.Only 10.38%(46/443)identified themselves as knowledgeable/very knowledgeable regarding meningococcal vaccines.A healthcare provider recommendation was the strongest factor encouraging parents to vaccinate their child.Most vaccine hesitancy was seen regarding side effects.Views and practices regarding the two vaccines aligned closely,with more than four-fifths of participants needing more information and the major reasons for not vaccinating a child being a lack of information or lack of recommendation.Social media and governmental websites were the most common sources for learning more about meningitis,with doctors ranking third.In fact,trust in doctors varied with less than half having moderate or strong trust in their main paediatrician.Multivariate logistic regression revealed that coronavirus disease 2019 vaccination status[adjusted odds ratio(AOR):0.365,95%confidence interval(CI):0.172 to 0.774,P=0.013]and female gender(AOR:2.741,95%CI:1.184 to 6.347,P=0.019)were significant predictors of vaccine hesitancy.Conclusion:Meningococcal vaccine hesitancy is a significant concern,primarily driven by fears of side effects and lack of knowledge and physician recommendation.However,vaccine attitudes were overall positive and highly dependent on physician involvement.There is a need for targeted educational initiatives enhancing meningitis disease awareness and vaccine uptake.展开更多
Objective:This review aimed to identify the barriers and facilitators to equitable coronavirus disease 2019(COVID-19)vaccine distribution in Nigeria using the consolidated framework for implementation research(CFIR).M...Objective:This review aimed to identify the barriers and facilitators to equitable coronavirus disease 2019(COVID-19)vaccine distribution in Nigeria using the consolidated framework for implementation research(CFIR).Methods:A comprehensive search strategy was applied across five databases—Web of Science,MEDLINE,EMBASE,CAB Direct,and CINAHL.The search,conducted as part of a scoping review,yielded 2,751 citations.Seven studies met the inclusion criteria after screening.Data were extracted and analyzed using CFIR constructs to identify key barriers and facilitators to equitable vaccine distribution.Results:Six barriers were identified:limited physical and socioeconomic access,bribery,nepotism,and insufficient availability of translated information.Facilitators included community involvement as local monitoring agents,unannounced staff inspections,healthcare worker training tailored to community needs,and localized outreach strategies such as jingles and call-in programs.CFIR constructs,including Local Conditions,Tailoring Strategies,Available Resources,and Physical Infrastructure,provided a framework for analyzing the findings.Conclusion:This review highlights significant barriers and promising facilitators to equitable vaccine distribution in Nigeria.Targeted interventions,such as community engagement,anti-corruption measures,and culturally tailored strategies,are critical to addressing these challenges and improving access.These findings underscore the need for localized,equity-focused approaches to enhance vaccine distribution systems in Nigeria and other low-resource settings.展开更多
Introduction: Vaccination faces several obstacles in the fight against COVID-19, yet it has been identified as one of the most effective means of preventing new epidemics of COVID-19. The aim was to contribute to impr...Introduction: Vaccination faces several obstacles in the fight against COVID-19, yet it has been identified as one of the most effective means of preventing new epidemics of COVID-19. The aim was to contribute to improving vaccination coverage against COVID-19 in the Kindu health zone. Method: We conducted a cross-sectional descriptive study with an analytical focus, using a questionnaire that enabled us to carry out a survey from October 03 to 30, 2022. Our target study population was residents of the Kindu health zone. A total of 420 subjects participated in our study, including 42 per site. Results: The study revealed a low proportion of vaccinated subjects (38.3%) and a high proportion of non-vaccinated subjects (61.70%). Non-belief in the efficacy of vaccines (p = 0.001), infodemia (p = 0.001) and respect for ethnic norms (p = 0.001) were identified as perceived barriers to vaccination. Fear of being branded with the “666” beast badge (p = 0.004) as the perceived severity. Respondents’ perceptions of mass vaccination against COVID-19 are mixed, and their opinions and expectations of COVID-19 vaccination in the town of Kindu are divided. Conclusion: In order to increase the proportion of people vaccinated against COVID-19, it is suggested here to increase the population’s ability to detect false information through a well-structured communication and health education program.展开更多
Background: Hepatitis B virus (HBV) is a primary reason for liver cancer and continues to be a worldwide public health issue. The likelihood of contracting HBV is greater in healthcare workers (HCWs) compared to indiv...Background: Hepatitis B virus (HBV) is a primary reason for liver cancer and continues to be a worldwide public health issue. The likelihood of contracting HBV is greater in healthcare workers (HCWs) compared to individuals who are not in healthcare professions. Medical students are classified as a high-risk demographic since, like HCWs, they often come into contact with bodily fluids and blood during their clinical training. By 2030, a greater proportion of people will have received HBV vaccinations, thereby halting the spread of new infections—The Somali Ministry of Health with the help of various agencies announced to eradicate hepatitis from Somalia. The priority actions are national hepatitis strategy, hepatitis survey, public awareness, training, and capacity building. Objectives: This study aims to assess the knowledge, attitude, and vaccination status of Hepatitis B infection among medical university students in Mogadishu, Somalia, 2024. Methods: Cross-sectional study design was used in this study and the survey was carried out among medical students enrolled in Universities from April 1, 2023 to June 30, 2023. The data was analyzed using SPSS version 26.0 software, Chi-square analysis and Logistic regression analysis to identify associations between demographic factors and HBV knowledge, attitudes, and vaccination status, as well as perspectives and immunization status concerning viral hepatitis. Results: The study achieved a response rate of (96%), with 230 participants. Most students (76.5%) were aged 26 - 30 years, and (60.8%) were male. Nearly half (48.7%) were in their third year of study, and the majority (36.1%) were from the Medicine and Surgery department. While 92.2% had heard of HBV, gaps in understanding were evident. About 37.8% erroneously believed HBV could spread via handshakes, and only 33.9% were aware HBV is treatable. Awareness of HBV’s severe complications, such as liver cirrhosis and liver cancer, was reported by 61.3%, and 83% understood that vaccination could prevent infection. Positive attitudes towards HBV vaccination were prevalent. Most participants (81.3%) supported vaccination before sexual activity, and 78.3% endorsed mandatory HBV vaccination policies for healthcare workers. However, 87.4% expressed concerns about the vaccine promoting unsafe sexual behavior, and 96.1% cited cultural resistance as a barrier to vaccination. A significant proportion (80.86%) of students had not been vaccinated against HBV. Among vaccinated students, 17.4%, 15.7%, and 47.82% had received one, two, and three doses, respectively. Barriers to vaccination included safety concerns (77.4%), lack of time (86.52%), and doubts about efficacy (42.61%). Conclusion: This study highlights gaps in knowledge and vaccination coverage among medical students, which are critical for their health and future clinical practice. Enhancing awareness and vaccination rates can empower students to advocate for preventative measures in their professional environments. Despite high awareness of HBV, knowledge gaps and cultural barriers persist, affecting attitudes and vaccination uptake among medical students. Educational interventions addressing misconceptions, cultural resistance, and vaccine safety are critical. Increased advocacy for mandatory vaccination policies in healthcare settings is also essential to improve HBV prevention methods.展开更多
The study aims to investigate county-level variations of the COVID-19 disease and vaccination rate. The COVID-19 data was acquired from usafact.org, and the vaccination records were acquired from the Ohio vaccination ...The study aims to investigate county-level variations of the COVID-19 disease and vaccination rate. The COVID-19 data was acquired from usafact.org, and the vaccination records were acquired from the Ohio vaccination tracker dashboard. GIS-based exploratory analysis was conducted to select four variables (poverty, black race, population density, and vaccination) to explain COVID-19 occurrence during the study period. Consequently, spatial statistical techniques such as Moran’s I, Hot Spot Analysis, Spatial Lag Model (SLM), and Spatial Error Model (SEM) were used to explain the COVID-19 occurrence and vaccination rate across the 88 counties in Ohio. The result of the Local Moran’s I analysis reveals that the epicenters of COVID-19 and vaccination followed the same patterns. Indeed, counties like Summit, Franklin, Fairfield, Hamilton, and Medina were categorized as epicenters for both COVID-19 occurrence and vaccination rate. The SEM seems to be the best model for both COVID-19 and vaccination rates, with R2 values of 0.68 and 0.70, respectively. The GWR analysis proves to be better than Ordinary Least Squares (OLS), and the distribution of R2 in the GWR is uneven throughout the study area for both COVID-19 cases and vaccinations. Some counties have a high R2 of up to 0.70 for both COVID-19 cases and vaccinations. The outcomes of the regression analyses show that the SEM models can explain 68% - 70% of COVID-19 cases and vaccination across the entire counties within the study period. COVID-19 cases and vaccination rates exhibited significant positive associations with black race and poverty throughout the study area.展开更多
Peste des petits ruminants virus (PPRV) antibodies were studied in Sudanese sheep and goats (n = 855) before and after vaccination with a locally produced Nigeria 75/1 vaccine using a commercial competitive ELISA (cEL...Peste des petits ruminants virus (PPRV) antibodies were studied in Sudanese sheep and goats (n = 855) before and after vaccination with a locally produced Nigeria 75/1 vaccine using a commercial competitive ELISA (cELISA) kit. Animals were kept healthy under field conditions, in four states: Blue Nile (n = 250), North Kordofan (n = 189), South Darfur (n = 225) and the Northern State (n = 191). Before vaccination, the overall sero-prevalence of PPRV antibodies was 54.6% (53.2% - 56%, 95% CI);high (64.8% - 76.4%, 95% CI) in Blue Nile State, medium (50.5% - 61.9%, 95% CI) in North Kordofan State and South Darfur State and low (28.6% - 35.2% 95%, CI) in Northern State. In high-risk areas (high sero-prevalence), Blue Nile (70.4%) and North Kordofan (57.7%), middle age groups (7 - 12 and 13 - 18 months) were identified as high-risk age. Middle age groups showed lower sero-prevalence than preceding (3 - 6 months) and subsequent (>18 months) age groups while the risk of exposure increased with age. Current and previous findings suggested a transmission pathway of PPRV involving the South Eastern border (Blue Nile) and neighbouring Central Sudan to North Kordofan. One month after vaccination 88.4% (343/388) of sero-negative animals were sero-converted suggesting the efficacy of the locally produced Nigeria 75/1 vaccine. Even if only individuals in the high-risk age group (7 - 18 months) were vaccinated, the overall population immunity (OPI) in high-risk areas (the Blue Nile and North Kordofan) would have surpassed the threshold of 70%, which is indicated for blocking PPRV transmission. However, lower vaccination coverage is expected in wider vaccination programmes. These findings primarily justified the targeting of PPR control in Sudan through the vaccination of high-risk age groups in high-risk areas.展开更多
BACKGROUND Measles is a highly contagious disease that caused by a measles virus.While measles vaccination is highly effective in preventing the disease,those who are unvaccinated or have not completed the vaccine ser...BACKGROUND Measles is a highly contagious disease that caused by a measles virus.While measles vaccination is highly effective in preventing the disease,those who are unvaccinated or have not completed the vaccine series are at significant risk.AIM To assess the clinical characteristics and outcomes of measles in vaccinated vs unvaccinated children in Ramadi city.METHODS Clinically confirmed cases of measles at Al-Ramadi Teaching Hospital for Ma-ternity and Children,identified between June and December 2023,were enrolled in this prospective cohort study.The cases were divided into two groups(va-ccinated and unvaccinated).The clinical characteristics and outcomes were com-pared between unvaccinated and vaccinated children.RESULTS Of 289 kids,there were 222(76.8%)children under 5 years old,and 161(55.7%)boys.Around 2/3rd children were unvaccinated.Besides,only 5(4.9%)kids from the vaccinated group received three doses.Fever,maculopapular rashes,and cough were the most common manifestations.Unvaccinated children had higher rate of developing complications(pneumonia and diarrhea with P values 0.001 and 0.01 respectively),longer hospital admission period(P value=0.008),and the need for respiratory care unit(RCU)admission comparing with the vaccinated children(4 cases for unvaccinated group vs 1 case for vaccinated group).CONCLUSION Unvaccinated kids were associated with more complications,longer admission hospital stays,and RCU admission.We recommend that public health directors utilize artificial intelligence tools to help control future measles epidemics.展开更多
Background:Globally,the use of community pharmacies and pharmacists in the delivery of vaccination services has been hampered by several factors,laws,and regulations that do not support pharmacists to participate in t...Background:Globally,the use of community pharmacies and pharmacists in the delivery of vaccination services has been hampered by several factors,laws,and regulations that do not support pharmacists to participate in the delivery of vaccination services.With the advent of COVID-19 pandemic,many countries have included community pharmacists and pharmacies in vaccination services to improve coverage.This study described the delivery of vaccination services in community pharmacies using the COVID-19 experience and how their involvement impacted vaccination coverage in Nigeria.It also exposed how this experience can be used to support policy revisions to formally recognize pharmacists in immunization delivery.Methods:A descriptive cross-sectional study was conducted among 474 community pharmacists in two southwestern States in Nigeria,using a semi-structured questionnaire.It determines the number of community pharmacists who have been trained in the delivery of vaccination services,the types of vaccination services provided,and vaccines administered in their pharmacies.Data were analyzed with descriptive and inferential statistics and p-value at≤0.05.Results:Response rate was 86.7%.Less than half of the respondents(40.1%)had undergone vaccination training.Of the 129(31.4%)respondents that provide vaccination services,72(55.8%)administer vaccines in their pharmacies.Out of these 72 respondents;45(62.5%)were administering vaccines before their involvement in COVID-19 vaccine administration;57(79.2%)of the health personnel who administer vaccines were pharmacists;60(83.3%)of them administer vaccines on request;22(30.6%)administered COVID-19 vaccines only;and only 7(9.7%)of the respondents had administered over 500 doses of COVID-19 vaccines.Training in vaccination was associated with the vaccination services provided(p<0.05).Respondents suggested government support through legal framework and policy review,training and empowering pharmacists in vaccine administration,and recognition of community pharmacists as PHC providers.展开更多
Objective:To assess the complete vaccination coverage and timeliness of childhood vaccinations among Indigenous children in Peninsular Malaysia.Methods:The study utilized data from the 2022 Orang Asli Health Survey,a ...Objective:To assess the complete vaccination coverage and timeliness of childhood vaccinations among Indigenous children in Peninsular Malaysia.Methods:The study utilized data from the 2022 Orang Asli Health Survey,a cross-sectional survey conducted among a representative sample of Orang Asli in Peninsular Malaysia.A total of 68 villages were randomly selected from a pool of 853 villages,encompassing diverse geographic and sociodemographic contexts with a total of 15950 respondents Orang Asli successfully interviewed.However,this study only utilized data from surveyed children aged 12 to 59 months with a total of 1551 children included.Validated structured questionnaires were used to collect sociodemographic data and health status,with nurses verifying vaccination records.Children who received all nine primary vaccinations were defined as having complete vaccination while those who received vaccine within the recommended time were defined as having timely vaccination.Data analysis was conducted using IBM SPSS version 25.0,focusing on descriptive analyses of children's vaccination status.Results:The prevalence of overall complete vaccination among Indigenous children was 87.7%,while timely vaccination was only 40.3%.The prevalence of complete vaccination for Bacillus Calmette-Guérin(BCG),the first dose of hepatitis B,three doses of DTaP-IPV-Hib,and measles,mumps,and rubella(MMR)was above 95.0%,except for the second and third doses of hepatitis B.The prevalence of timely vaccination ranged from above 95.0%for vaccines given at birth,gradually decreasing with increasing age to 57.5%for the first dose of MMR.Moreover,the completion rates for three doses of DtaP-IPV-Hib and the initial dose of MMR surpassed 90%among Indigenous children aged 12-23 months,yet the timeliness remained at a moderate level.Conclusions:While the overall complete vaccination coverage among Indigenous children in Malaysia is relatively high,there are concerning disparities in the timeliness of vaccination,particularly as children age.展开更多
Influenza is a significant global public health challenge,with seasonal epidemics imposing substantial burdens on healthcare systems and vulnerable populations,causing 3 to 5 million severe cases and 290,000 to 650,00...Influenza is a significant global public health challenge,with seasonal epidemics imposing substantial burdens on healthcare systems and vulnerable populations,causing 3 to 5 million severe cases and 290,000 to 650,000 respiratory-related deaths worldwide each year[1].Vaccines are an effective means of preventing influenza.In recent years,China has made progress in vaccine development and immunization strategies.The population is recommended to receive influenza vaccines annually;however,their coverage remain suboptimal[2].The World Health Organization(WHO)highlights that all countries should consider implementing seasonal influenza immunization programs,with priority groups determined based on local epidemiological contexts.In alignment with the Immunization Agenda 2030,the use of seasonal influenza vaccines contributes to strengthening the life course of immunization and serves as a critical component for addressing influenza pandemics,as outlined in the WHO Global Influenza Strategy 2019-2030.展开更多
Immunoprophylaxis is routinely recommended for infants born to mothers with hepatitis B virus(HBV)infection within the first 12-24 hours.Detection of he-patitis B surface antibody(HBsAb)resulting from hepatitis B immu...Immunoprophylaxis is routinely recommended for infants born to mothers with hepatitis B virus(HBV)infection within the first 12-24 hours.Detection of he-patitis B surface antibody(HBsAb)resulting from hepatitis B immunoglobulin administered at birth may be perceived as a real vaccine response.This makes it difficult to detect HBV infection.For this reason,it is recommended that infants born to hepatitis B surface antigen positive mothers and who received immunop-rophylaxis at birth should have HBsAb testing when they are 9-15 months old.展开更多
Background: In India every year an estimated 20,000 patients die of Rabies. Major reason for poor compliance to anti-rabies prophylaxis is the high cost of anti-rabies vaccine being prescribed intramuscularly (IM) as ...Background: In India every year an estimated 20,000 patients die of Rabies. Major reason for poor compliance to anti-rabies prophylaxis is the high cost of anti-rabies vaccine being prescribed intramuscularly (IM) as a routine i.e. 44.5 USD per course of five injections. In 1992 WHO recommended low cost intra-dermal rabies vaccination (IDRV), which costs only 7.5 USD or less per animal bite course. Methods: Interviews with doctors revealed that they were not prescribing intra-dermal anti rabies vaccination as they were either not aware or were not confident of this route of rabies vaccination. Also the vaccine vial did not have the label for “intra-dermal use”. These barriers were removed by advocacy efforts with policy makers & drug companies, credit sharing & team building, which led to starting of first intra dermal anti-rabies clinic of North India on 2nd August 2008. Results: Within a month of start of intra-dermal rabies vaccination clinic, i.e. by 2nd September, 2008, there was an increase in the hospital patient load by 2.8 times, and poor patients load by 3.2 times. In just less than two-year time, 200,000 USD of poor patients were saved and 5769 patients vaccinated. Each patient was asked to bring one vial on first visit & rest of doses were given “free” by pooling strategy. Pooling strategy involved distribution of one vial of vaccine among four persons and keep the three vials for use one by one by all the four patients on subsequent three visits. Another offshoot of the strategy was to prevent wasting of even few drops of vaccine that used to remain in each vial of 1 ml after distribution among four patients (0.2 mL or less). Out of more than 5000 vials utilised, every time we would transfer the left out drops of vaccine to the next new vial and use it immediately on a new pool of patients waiting for vaccination. We would, however, discard the unused vaccine after eight hours of reconstitution at the end of the day. The vaccine so saved turned to be a stock of more than 100 vials in less than two years that we were able to give free to more than 225 rag pickers, garbage collectors and newspaper hawkers on World Rabies Day, Sep 28, 2010. Conclusions: With intra-dermal clinic, we were able to successfully introduce the new cost effective intra-dermal method of rabies vaccination despite all odds & vested interests of companies & old mindset of doctors that had blocked this technique till now. This will go a long way in reducing the burden of disease & death due to rabies from India.展开更多
Introduction Human papillomavirus(HPV)vaccination is a cornerstone of cervical cancer prevention,particularly in low-and middle-income countries(LMICs),where the burden of disease remains high~1.The World Health Organ...Introduction Human papillomavirus(HPV)vaccination is a cornerstone of cervical cancer prevention,particularly in low-and middle-income countries(LMICs),where the burden of disease remains high~1.The World Health Organization(WHO)HPV Vaccine Introduction Clearing House reported that 147 countries(of 194 reporting)had fully introduced the HPV vaccine into their national schedules as of 20242.After COVID-19 pandemic disruptions,global coverage is again increasing.展开更多
Objective:This study aimed to explore undergraduates’knowledge,attitude,and practice/behavior of human papillomavirus(HPV)vaccination,as well as the essential influencing factors for vaccination decision-making.Metho...Objective:This study aimed to explore undergraduates’knowledge,attitude,and practice/behavior of human papillomavirus(HPV)vaccination,as well as the essential influencing factors for vaccination decision-making.Methods:Through cluster and convenience sampling,2000 undergraduates from the Nursing and Language department of a university in Shanghai were sent a self-designed questionnaire.Chi-square tests,independent sample t-test/ANOVE,and multiple linear regression were used to investigate participants’knowledge and attitude on HPV vaccination,as well as the factors that predicted potential action to receive and promote HPV vaccination in the future.Results:The mean HPV knowledge score was 5.027 out of 10.Health science students showed a significantly higher knowledge mean score than the non-health science students(P<0.000).There was a statistically difference in HPV vaccination attitude among undergraduates in different grades(P<0.05).Awareness of cervical cancer and worries about the risk of cervical cancer were the significant predictors of willingness to receive and promote HPV vaccination in the future.Conclusions:It would take time for a new health product to be aware,understood,accepted,and received.Education providing and information sharing are expected to break the dawn and make the procedure processed.展开更多
In 2022,cervical cancer accounted for approximately 662,301 new cases worldwide,representing 6.9%of all cancers diagnosed in women.Furthermore,it was the fourth leading cause of cancer-related deaths among women~1.In ...In 2022,cervical cancer accounted for approximately 662,301 new cases worldwide,representing 6.9%of all cancers diagnosed in women.Furthermore,it was the fourth leading cause of cancer-related deaths among women~1.In China,human papillomavirus(HPV)vaccination is not included in the National Immunization Program,thus creating marked urban±rural disparities:only 5.7%of rural children are vaccinated~2.Local publicly funded initiatives have increased vaccination uptake in some cities(e.g.,Shenzhen pilot;Jinan first-dose coverage>90%among eligible girls)~(3,4).展开更多
To the Editor:Salam et al.found that more than half(54.2%)of Indonesian parents surveyed were willing to pay for a dengue vaccination[1].Using the Health Belief Model,the study identified four constructs that signific...To the Editor:Salam et al.found that more than half(54.2%)of Indonesian parents surveyed were willing to pay for a dengue vaccination[1].Using the Health Belief Model,the study identified four constructs that significantly influenced willingness to pay,including Perceived Susceptibility,Perceived Severity,Perceived Benefits,and Cues to Action[1].Interestingly,Perceived Barriers,including cost and potential side effects,did not show a significant effect[1].展开更多
[Objectives]This study was conducted to evaluate the practical efficacy of Haemophilus parasuis(Hps)vaccines and determine whether the continuous use of vaccines leads to changes in Hps serotypes.[Methods]A swine prod...[Objectives]This study was conducted to evaluate the practical efficacy of Haemophilus parasuis(Hps)vaccines and determine whether the continuous use of vaccines leads to changes in Hps serotypes.[Methods]A swine production group that had used a bivalent vaccine of Hps serotypes 4 and 5 for two consecutive years were investigated and retrospectively analyzed.Data on Hps detection rate,nursery production and disease indexes,as well as serotype shifts after continuous vaccination,were collected to assess vaccine effectiveness.[Results]Continuous vaccination reduced the total nursery culling and mortality rate by 1.75%.Hps infection persisted in the farms,and the pathogen could still be isolated.However,serotyping revealed a significant shift in the dominant prevalent serotypes,indicating that the vaccine was indeed effective.[Conclusions]The matched Hps vaccine demonstrated effective results.However,whether replacing serotypes or adding more prevalent serotypes could further improve the control of Hps disease requires further investigation.展开更多
Objective:To assess knowledge levels regarding seasonal influenza and its vaccine among high-risk Malaysian urban dwellers and identify factors associated with both knowledge acquisition and vaccination behavior.Metho...Objective:To assess knowledge levels regarding seasonal influenza and its vaccine among high-risk Malaysian urban dwellers and identify factors associated with both knowledge acquisition and vaccination behavior.Methods:This is a cross-sectional study conducted between April-July 2024 in two urban communities in Malaysia.High-risk participants(n=390)including adults≥65 years or aged 18+with chronic illnesses,were recruited through convenience sampling from public areas.Knowledge was assessed using a validated 12-item questionnaire(Cronbach'sα=0.977),categorized as good(7-12 points)or poor(0-6 points).Primary outcomes included knowledge scores,vaccination uptake rates,and associated demographic and clinical factors.Multivariate logistic regression identified independent predictors of good knowledge and vaccination behavior.Results:A total of 390 respondents were included in this study The mean age of the respondents were(58.4±12.7)years,and the majority of them were aged 65 or above(113/390,29.0%),males(212/390,54.4%),and of Chinese ethnicity(363/390,93.1%).Though 68.7%(268/390;95%CI 63.9%-73.2%)demonstrated good influenza knowledge,only 12.1%(47/390;95%CI 9.0%-15.8%)received annual vaccination.Independent predictors of good knowledge included female sex(aOR 1.65,95%CI 1.04-2.62,P=0.034),tertiary education(aOR 8.76,95%CI 2.79-27.51,P<0.001),diabetes(aOR 2.68,95%CI 1.07-6.69,P=0.035),and vaccination history(aOR 1.89,95%CI 1.09-3.28,P=0.024).Only 24.4%(95/390)respondents received physician vaccination recommendations.Social media constituted the primary information source(34.6%vs.24.4%from physicians).Conclusions:A substantial knowledge-behavior gap exists in influenza vaccination among high-risk Malaysian adults.Despite good knowledge levels,vaccination rates remain critically low,highlighting that knowledge alone is insufficient to drive vaccination behavior.Low physician recommendation rates represent a critical missed opportunity for prevention.Healthcare system interventions focusing on provider education,systematic vaccination recommendations,and evidence-based social media campaigns are essential to improve vaccination coverage in high-risk populations.展开更多
基金Project supported by the National Natural Science Foundation of China(Grant Nos.12571549,12571592,12471463,12022113,12101573)。
文摘Vaccination is a key strategy to curb the spread of epidemics.Heterologous vaccination,unlike homologous vaccination which acts on a single target and forms a single immune barrier,covers multiple targets for broader protection.Yet,heterologous vaccination involves a complex decision process that conventional game-theoretic approaches,such as classical,evolutionary,and minority games cannot adequately capture.The parallel minority game(PMG)can handle bounded-rational,multi-choice decisions,but its application in vaccine research remains rare.In this study,we propose a vaccination-transmission coupled dynamic mechanism based on the parallel minority game and simulate it on a two-dimensional lattice.Using actual observational data and a mean-field mathematical model,we verify the effectiveness of this mechanism in simulating realistic vaccination behavior and transmission dynamics.We further analyze the impact of key parameters,such as vaccine efficacy differences and the proportion of individuals eligible for vaccine switching,on containment effectiveness.Our results demonstrate that heterologous vaccination surpasses homologous vaccination in containment effectiveness,particularly when vaccine efficacy varies significantly.This work provides a novel framework and empirical evidence for understanding individual decision-making and population-wide immunity formation in multi-vaccine settings.
文摘Hepatitis B virus (HBV) chronic infection represents a significant cause of morbidity and mortality worldwide. While traditional intramuscular (IM) HBV vaccination is an excellent method for robust and sustained seroconversion in healthy individuals, its efficacy in chronic liver disease is sub-optimal and scant data exists in the post-liver transplant state. Importantly, HBV complications are even more severe in these same immunocompromised populations. Intra-dermal (ID) vaccination has shown initial promise as a successful alternative to achieving HBV seroconversion in patients refractory to standard vaccination protocols. Herein is a case report of a 61 year-old female who underwent liver transplantation for chronic HBV infection and achieved HBsAg seroconversion with a robust HSsAb titer with ID vaccination after having failed both standard and double dose IM vaccination.
文摘Background:Invasive meningococcal disease is a potentially life-threatening infection caused by Neisseria meningitidis.Vaccination is highly effective in preventing meningitis and reducing its associated complications.This study aims to assess the United Arab Emirates(UAE)parents meningitis knowledge and explore vaccination attitudes and practices.Methodology:An observational cross-sectional study was conducted between March and May 2024 across the UAE using convenience sampling through social media,electronic mail,and word of mouth.A 58-item questionnaire collected information regarding demographics,meningitis knowledge,attitudes and practices,and meningococcal vaccination knowledge and practices.Results:Of 443 parents included,more than a third had no knowledge about meningitis.Symptoms and severity were well-recognized overall,but clear gaps were evident regarding complications and meningococcal vaccines.Only 10.38%(46/443)identified themselves as knowledgeable/very knowledgeable regarding meningococcal vaccines.A healthcare provider recommendation was the strongest factor encouraging parents to vaccinate their child.Most vaccine hesitancy was seen regarding side effects.Views and practices regarding the two vaccines aligned closely,with more than four-fifths of participants needing more information and the major reasons for not vaccinating a child being a lack of information or lack of recommendation.Social media and governmental websites were the most common sources for learning more about meningitis,with doctors ranking third.In fact,trust in doctors varied with less than half having moderate or strong trust in their main paediatrician.Multivariate logistic regression revealed that coronavirus disease 2019 vaccination status[adjusted odds ratio(AOR):0.365,95%confidence interval(CI):0.172 to 0.774,P=0.013]and female gender(AOR:2.741,95%CI:1.184 to 6.347,P=0.019)were significant predictors of vaccine hesitancy.Conclusion:Meningococcal vaccine hesitancy is a significant concern,primarily driven by fears of side effects and lack of knowledge and physician recommendation.However,vaccine attitudes were overall positive and highly dependent on physician involvement.There is a need for targeted educational initiatives enhancing meningitis disease awareness and vaccine uptake.
文摘Objective:This review aimed to identify the barriers and facilitators to equitable coronavirus disease 2019(COVID-19)vaccine distribution in Nigeria using the consolidated framework for implementation research(CFIR).Methods:A comprehensive search strategy was applied across five databases—Web of Science,MEDLINE,EMBASE,CAB Direct,and CINAHL.The search,conducted as part of a scoping review,yielded 2,751 citations.Seven studies met the inclusion criteria after screening.Data were extracted and analyzed using CFIR constructs to identify key barriers and facilitators to equitable vaccine distribution.Results:Six barriers were identified:limited physical and socioeconomic access,bribery,nepotism,and insufficient availability of translated information.Facilitators included community involvement as local monitoring agents,unannounced staff inspections,healthcare worker training tailored to community needs,and localized outreach strategies such as jingles and call-in programs.CFIR constructs,including Local Conditions,Tailoring Strategies,Available Resources,and Physical Infrastructure,provided a framework for analyzing the findings.Conclusion:This review highlights significant barriers and promising facilitators to equitable vaccine distribution in Nigeria.Targeted interventions,such as community engagement,anti-corruption measures,and culturally tailored strategies,are critical to addressing these challenges and improving access.These findings underscore the need for localized,equity-focused approaches to enhance vaccine distribution systems in Nigeria and other low-resource settings.
文摘Introduction: Vaccination faces several obstacles in the fight against COVID-19, yet it has been identified as one of the most effective means of preventing new epidemics of COVID-19. The aim was to contribute to improving vaccination coverage against COVID-19 in the Kindu health zone. Method: We conducted a cross-sectional descriptive study with an analytical focus, using a questionnaire that enabled us to carry out a survey from October 03 to 30, 2022. Our target study population was residents of the Kindu health zone. A total of 420 subjects participated in our study, including 42 per site. Results: The study revealed a low proportion of vaccinated subjects (38.3%) and a high proportion of non-vaccinated subjects (61.70%). Non-belief in the efficacy of vaccines (p = 0.001), infodemia (p = 0.001) and respect for ethnic norms (p = 0.001) were identified as perceived barriers to vaccination. Fear of being branded with the “666” beast badge (p = 0.004) as the perceived severity. Respondents’ perceptions of mass vaccination against COVID-19 are mixed, and their opinions and expectations of COVID-19 vaccination in the town of Kindu are divided. Conclusion: In order to increase the proportion of people vaccinated against COVID-19, it is suggested here to increase the population’s ability to detect false information through a well-structured communication and health education program.
文摘Background: Hepatitis B virus (HBV) is a primary reason for liver cancer and continues to be a worldwide public health issue. The likelihood of contracting HBV is greater in healthcare workers (HCWs) compared to individuals who are not in healthcare professions. Medical students are classified as a high-risk demographic since, like HCWs, they often come into contact with bodily fluids and blood during their clinical training. By 2030, a greater proportion of people will have received HBV vaccinations, thereby halting the spread of new infections—The Somali Ministry of Health with the help of various agencies announced to eradicate hepatitis from Somalia. The priority actions are national hepatitis strategy, hepatitis survey, public awareness, training, and capacity building. Objectives: This study aims to assess the knowledge, attitude, and vaccination status of Hepatitis B infection among medical university students in Mogadishu, Somalia, 2024. Methods: Cross-sectional study design was used in this study and the survey was carried out among medical students enrolled in Universities from April 1, 2023 to June 30, 2023. The data was analyzed using SPSS version 26.0 software, Chi-square analysis and Logistic regression analysis to identify associations between demographic factors and HBV knowledge, attitudes, and vaccination status, as well as perspectives and immunization status concerning viral hepatitis. Results: The study achieved a response rate of (96%), with 230 participants. Most students (76.5%) were aged 26 - 30 years, and (60.8%) were male. Nearly half (48.7%) were in their third year of study, and the majority (36.1%) were from the Medicine and Surgery department. While 92.2% had heard of HBV, gaps in understanding were evident. About 37.8% erroneously believed HBV could spread via handshakes, and only 33.9% were aware HBV is treatable. Awareness of HBV’s severe complications, such as liver cirrhosis and liver cancer, was reported by 61.3%, and 83% understood that vaccination could prevent infection. Positive attitudes towards HBV vaccination were prevalent. Most participants (81.3%) supported vaccination before sexual activity, and 78.3% endorsed mandatory HBV vaccination policies for healthcare workers. However, 87.4% expressed concerns about the vaccine promoting unsafe sexual behavior, and 96.1% cited cultural resistance as a barrier to vaccination. A significant proportion (80.86%) of students had not been vaccinated against HBV. Among vaccinated students, 17.4%, 15.7%, and 47.82% had received one, two, and three doses, respectively. Barriers to vaccination included safety concerns (77.4%), lack of time (86.52%), and doubts about efficacy (42.61%). Conclusion: This study highlights gaps in knowledge and vaccination coverage among medical students, which are critical for their health and future clinical practice. Enhancing awareness and vaccination rates can empower students to advocate for preventative measures in their professional environments. Despite high awareness of HBV, knowledge gaps and cultural barriers persist, affecting attitudes and vaccination uptake among medical students. Educational interventions addressing misconceptions, cultural resistance, and vaccine safety are critical. Increased advocacy for mandatory vaccination policies in healthcare settings is also essential to improve HBV prevention methods.
文摘The study aims to investigate county-level variations of the COVID-19 disease and vaccination rate. The COVID-19 data was acquired from usafact.org, and the vaccination records were acquired from the Ohio vaccination tracker dashboard. GIS-based exploratory analysis was conducted to select four variables (poverty, black race, population density, and vaccination) to explain COVID-19 occurrence during the study period. Consequently, spatial statistical techniques such as Moran’s I, Hot Spot Analysis, Spatial Lag Model (SLM), and Spatial Error Model (SEM) were used to explain the COVID-19 occurrence and vaccination rate across the 88 counties in Ohio. The result of the Local Moran’s I analysis reveals that the epicenters of COVID-19 and vaccination followed the same patterns. Indeed, counties like Summit, Franklin, Fairfield, Hamilton, and Medina were categorized as epicenters for both COVID-19 occurrence and vaccination rate. The SEM seems to be the best model for both COVID-19 and vaccination rates, with R2 values of 0.68 and 0.70, respectively. The GWR analysis proves to be better than Ordinary Least Squares (OLS), and the distribution of R2 in the GWR is uneven throughout the study area for both COVID-19 cases and vaccinations. Some counties have a high R2 of up to 0.70 for both COVID-19 cases and vaccinations. The outcomes of the regression analyses show that the SEM models can explain 68% - 70% of COVID-19 cases and vaccination across the entire counties within the study period. COVID-19 cases and vaccination rates exhibited significant positive associations with black race and poverty throughout the study area.
文摘Peste des petits ruminants virus (PPRV) antibodies were studied in Sudanese sheep and goats (n = 855) before and after vaccination with a locally produced Nigeria 75/1 vaccine using a commercial competitive ELISA (cELISA) kit. Animals were kept healthy under field conditions, in four states: Blue Nile (n = 250), North Kordofan (n = 189), South Darfur (n = 225) and the Northern State (n = 191). Before vaccination, the overall sero-prevalence of PPRV antibodies was 54.6% (53.2% - 56%, 95% CI);high (64.8% - 76.4%, 95% CI) in Blue Nile State, medium (50.5% - 61.9%, 95% CI) in North Kordofan State and South Darfur State and low (28.6% - 35.2% 95%, CI) in Northern State. In high-risk areas (high sero-prevalence), Blue Nile (70.4%) and North Kordofan (57.7%), middle age groups (7 - 12 and 13 - 18 months) were identified as high-risk age. Middle age groups showed lower sero-prevalence than preceding (3 - 6 months) and subsequent (>18 months) age groups while the risk of exposure increased with age. Current and previous findings suggested a transmission pathway of PPRV involving the South Eastern border (Blue Nile) and neighbouring Central Sudan to North Kordofan. One month after vaccination 88.4% (343/388) of sero-negative animals were sero-converted suggesting the efficacy of the locally produced Nigeria 75/1 vaccine. Even if only individuals in the high-risk age group (7 - 18 months) were vaccinated, the overall population immunity (OPI) in high-risk areas (the Blue Nile and North Kordofan) would have surpassed the threshold of 70%, which is indicated for blocking PPRV transmission. However, lower vaccination coverage is expected in wider vaccination programmes. These findings primarily justified the targeting of PPR control in Sudan through the vaccination of high-risk age groups in high-risk areas.
文摘BACKGROUND Measles is a highly contagious disease that caused by a measles virus.While measles vaccination is highly effective in preventing the disease,those who are unvaccinated or have not completed the vaccine series are at significant risk.AIM To assess the clinical characteristics and outcomes of measles in vaccinated vs unvaccinated children in Ramadi city.METHODS Clinically confirmed cases of measles at Al-Ramadi Teaching Hospital for Ma-ternity and Children,identified between June and December 2023,were enrolled in this prospective cohort study.The cases were divided into two groups(va-ccinated and unvaccinated).The clinical characteristics and outcomes were com-pared between unvaccinated and vaccinated children.RESULTS Of 289 kids,there were 222(76.8%)children under 5 years old,and 161(55.7%)boys.Around 2/3rd children were unvaccinated.Besides,only 5(4.9%)kids from the vaccinated group received three doses.Fever,maculopapular rashes,and cough were the most common manifestations.Unvaccinated children had higher rate of developing complications(pneumonia and diarrhea with P values 0.001 and 0.01 respectively),longer hospital admission period(P value=0.008),and the need for respiratory care unit(RCU)admission comparing with the vaccinated children(4 cases for unvaccinated group vs 1 case for vaccinated group).CONCLUSION Unvaccinated kids were associated with more complications,longer admission hospital stays,and RCU admission.We recommend that public health directors utilize artificial intelligence tools to help control future measles epidemics.
文摘Background:Globally,the use of community pharmacies and pharmacists in the delivery of vaccination services has been hampered by several factors,laws,and regulations that do not support pharmacists to participate in the delivery of vaccination services.With the advent of COVID-19 pandemic,many countries have included community pharmacists and pharmacies in vaccination services to improve coverage.This study described the delivery of vaccination services in community pharmacies using the COVID-19 experience and how their involvement impacted vaccination coverage in Nigeria.It also exposed how this experience can be used to support policy revisions to formally recognize pharmacists in immunization delivery.Methods:A descriptive cross-sectional study was conducted among 474 community pharmacists in two southwestern States in Nigeria,using a semi-structured questionnaire.It determines the number of community pharmacists who have been trained in the delivery of vaccination services,the types of vaccination services provided,and vaccines administered in their pharmacies.Data were analyzed with descriptive and inferential statistics and p-value at≤0.05.Results:Response rate was 86.7%.Less than half of the respondents(40.1%)had undergone vaccination training.Of the 129(31.4%)respondents that provide vaccination services,72(55.8%)administer vaccines in their pharmacies.Out of these 72 respondents;45(62.5%)were administering vaccines before their involvement in COVID-19 vaccine administration;57(79.2%)of the health personnel who administer vaccines were pharmacists;60(83.3%)of them administer vaccines on request;22(30.6%)administered COVID-19 vaccines only;and only 7(9.7%)of the respondents had administered over 500 doses of COVID-19 vaccines.Training in vaccination was associated with the vaccination services provided(p<0.05).Respondents suggested government support through legal framework and policy review,training and empowering pharmacists in vaccine administration,and recognition of community pharmacists as PHC providers.
文摘Objective:To assess the complete vaccination coverage and timeliness of childhood vaccinations among Indigenous children in Peninsular Malaysia.Methods:The study utilized data from the 2022 Orang Asli Health Survey,a cross-sectional survey conducted among a representative sample of Orang Asli in Peninsular Malaysia.A total of 68 villages were randomly selected from a pool of 853 villages,encompassing diverse geographic and sociodemographic contexts with a total of 15950 respondents Orang Asli successfully interviewed.However,this study only utilized data from surveyed children aged 12 to 59 months with a total of 1551 children included.Validated structured questionnaires were used to collect sociodemographic data and health status,with nurses verifying vaccination records.Children who received all nine primary vaccinations were defined as having complete vaccination while those who received vaccine within the recommended time were defined as having timely vaccination.Data analysis was conducted using IBM SPSS version 25.0,focusing on descriptive analyses of children's vaccination status.Results:The prevalence of overall complete vaccination among Indigenous children was 87.7%,while timely vaccination was only 40.3%.The prevalence of complete vaccination for Bacillus Calmette-Guérin(BCG),the first dose of hepatitis B,three doses of DTaP-IPV-Hib,and measles,mumps,and rubella(MMR)was above 95.0%,except for the second and third doses of hepatitis B.The prevalence of timely vaccination ranged from above 95.0%for vaccines given at birth,gradually decreasing with increasing age to 57.5%for the first dose of MMR.Moreover,the completion rates for three doses of DtaP-IPV-Hib and the initial dose of MMR surpassed 90%among Indigenous children aged 12-23 months,yet the timeliness remained at a moderate level.Conclusions:While the overall complete vaccination coverage among Indigenous children in Malaysia is relatively high,there are concerning disparities in the timeliness of vaccination,particularly as children age.
基金supported by the Chinese Association of Preventive Medicine-Vaccine and Immunization Youth Talent Support Project(CPMAQT-YM0314)。
文摘Influenza is a significant global public health challenge,with seasonal epidemics imposing substantial burdens on healthcare systems and vulnerable populations,causing 3 to 5 million severe cases and 290,000 to 650,000 respiratory-related deaths worldwide each year[1].Vaccines are an effective means of preventing influenza.In recent years,China has made progress in vaccine development and immunization strategies.The population is recommended to receive influenza vaccines annually;however,their coverage remain suboptimal[2].The World Health Organization(WHO)highlights that all countries should consider implementing seasonal influenza immunization programs,with priority groups determined based on local epidemiological contexts.In alignment with the Immunization Agenda 2030,the use of seasonal influenza vaccines contributes to strengthening the life course of immunization and serves as a critical component for addressing influenza pandemics,as outlined in the WHO Global Influenza Strategy 2019-2030.
文摘Immunoprophylaxis is routinely recommended for infants born to mothers with hepatitis B virus(HBV)infection within the first 12-24 hours.Detection of he-patitis B surface antibody(HBsAb)resulting from hepatitis B immunoglobulin administered at birth may be perceived as a real vaccine response.This makes it difficult to detect HBV infection.For this reason,it is recommended that infants born to hepatitis B surface antigen positive mothers and who received immunop-rophylaxis at birth should have HBsAb testing when they are 9-15 months old.
文摘Background: In India every year an estimated 20,000 patients die of Rabies. Major reason for poor compliance to anti-rabies prophylaxis is the high cost of anti-rabies vaccine being prescribed intramuscularly (IM) as a routine i.e. 44.5 USD per course of five injections. In 1992 WHO recommended low cost intra-dermal rabies vaccination (IDRV), which costs only 7.5 USD or less per animal bite course. Methods: Interviews with doctors revealed that they were not prescribing intra-dermal anti rabies vaccination as they were either not aware or were not confident of this route of rabies vaccination. Also the vaccine vial did not have the label for “intra-dermal use”. These barriers were removed by advocacy efforts with policy makers & drug companies, credit sharing & team building, which led to starting of first intra dermal anti-rabies clinic of North India on 2nd August 2008. Results: Within a month of start of intra-dermal rabies vaccination clinic, i.e. by 2nd September, 2008, there was an increase in the hospital patient load by 2.8 times, and poor patients load by 3.2 times. In just less than two-year time, 200,000 USD of poor patients were saved and 5769 patients vaccinated. Each patient was asked to bring one vial on first visit & rest of doses were given “free” by pooling strategy. Pooling strategy involved distribution of one vial of vaccine among four persons and keep the three vials for use one by one by all the four patients on subsequent three visits. Another offshoot of the strategy was to prevent wasting of even few drops of vaccine that used to remain in each vial of 1 ml after distribution among four patients (0.2 mL or less). Out of more than 5000 vials utilised, every time we would transfer the left out drops of vaccine to the next new vial and use it immediately on a new pool of patients waiting for vaccination. We would, however, discard the unused vaccine after eight hours of reconstitution at the end of the day. The vaccine so saved turned to be a stock of more than 100 vials in less than two years that we were able to give free to more than 225 rag pickers, garbage collectors and newspaper hawkers on World Rabies Day, Sep 28, 2010. Conclusions: With intra-dermal clinic, we were able to successfully introduce the new cost effective intra-dermal method of rabies vaccination despite all odds & vested interests of companies & old mindset of doctors that had blocked this technique till now. This will go a long way in reducing the burden of disease & death due to rabies from India.
文摘Introduction Human papillomavirus(HPV)vaccination is a cornerstone of cervical cancer prevention,particularly in low-and middle-income countries(LMICs),where the burden of disease remains high~1.The World Health Organization(WHO)HPV Vaccine Introduction Clearing House reported that 147 countries(of 194 reporting)had fully introduced the HPV vaccine into their national schedules as of 20242.After COVID-19 pandemic disruptions,global coverage is again increasing.
文摘Objective:This study aimed to explore undergraduates’knowledge,attitude,and practice/behavior of human papillomavirus(HPV)vaccination,as well as the essential influencing factors for vaccination decision-making.Methods:Through cluster and convenience sampling,2000 undergraduates from the Nursing and Language department of a university in Shanghai were sent a self-designed questionnaire.Chi-square tests,independent sample t-test/ANOVE,and multiple linear regression were used to investigate participants’knowledge and attitude on HPV vaccination,as well as the factors that predicted potential action to receive and promote HPV vaccination in the future.Results:The mean HPV knowledge score was 5.027 out of 10.Health science students showed a significantly higher knowledge mean score than the non-health science students(P<0.000).There was a statistically difference in HPV vaccination attitude among undergraduates in different grades(P<0.05).Awareness of cervical cancer and worries about the risk of cervical cancer were the significant predictors of willingness to receive and promote HPV vaccination in the future.Conclusions:It would take time for a new health product to be aware,understood,accepted,and received.Education providing and information sharing are expected to break the dawn and make the procedure processed.
基金supported by grants from the China Association for Science and Technology(KXYJS2024012)the Gates Foundation(INV-006373 and INV-023808)+1 种基金Capital’s Funds for Health Improvement and Research(2024-2-30117)Beijing Municipal Health Commission’s Funds for the Highqualified Public Health Professionals Development Project(Discipline Core-03-36)。
文摘In 2022,cervical cancer accounted for approximately 662,301 new cases worldwide,representing 6.9%of all cancers diagnosed in women.Furthermore,it was the fourth leading cause of cancer-related deaths among women~1.In China,human papillomavirus(HPV)vaccination is not included in the National Immunization Program,thus creating marked urban±rural disparities:only 5.7%of rural children are vaccinated~2.Local publicly funded initiatives have increased vaccination uptake in some cities(e.g.,Shenzhen pilot;Jinan first-dose coverage>90%among eligible girls)~(3,4).
文摘To the Editor:Salam et al.found that more than half(54.2%)of Indonesian parents surveyed were willing to pay for a dengue vaccination[1].Using the Health Belief Model,the study identified four constructs that significantly influenced willingness to pay,including Perceived Susceptibility,Perceived Severity,Perceived Benefits,and Cues to Action[1].Interestingly,Perceived Barriers,including cost and potential side effects,did not show a significant effect[1].
基金Supported by New Era Vocational School famous teachers and Principals Training Program of Hubei ProvinceAction Plan for Science and Technology Support in Rural Revitalization of Higher Education Institutions of Department of Education of Hubei Province(BXLBX1376)Horizontal Project of Animal Epidemic Diagnosis Technology Research and Product Development.
文摘[Objectives]This study was conducted to evaluate the practical efficacy of Haemophilus parasuis(Hps)vaccines and determine whether the continuous use of vaccines leads to changes in Hps serotypes.[Methods]A swine production group that had used a bivalent vaccine of Hps serotypes 4 and 5 for two consecutive years were investigated and retrospectively analyzed.Data on Hps detection rate,nursery production and disease indexes,as well as serotype shifts after continuous vaccination,were collected to assess vaccine effectiveness.[Results]Continuous vaccination reduced the total nursery culling and mortality rate by 1.75%.Hps infection persisted in the farms,and the pathogen could still be isolated.However,serotyping revealed a significant shift in the dominant prevalent serotypes,indicating that the vaccine was indeed effective.[Conclusions]The matched Hps vaccine demonstrated effective results.However,whether replacing serotypes or adding more prevalent serotypes could further improve the control of Hps disease requires further investigation.
文摘Objective:To assess knowledge levels regarding seasonal influenza and its vaccine among high-risk Malaysian urban dwellers and identify factors associated with both knowledge acquisition and vaccination behavior.Methods:This is a cross-sectional study conducted between April-July 2024 in two urban communities in Malaysia.High-risk participants(n=390)including adults≥65 years or aged 18+with chronic illnesses,were recruited through convenience sampling from public areas.Knowledge was assessed using a validated 12-item questionnaire(Cronbach'sα=0.977),categorized as good(7-12 points)or poor(0-6 points).Primary outcomes included knowledge scores,vaccination uptake rates,and associated demographic and clinical factors.Multivariate logistic regression identified independent predictors of good knowledge and vaccination behavior.Results:A total of 390 respondents were included in this study The mean age of the respondents were(58.4±12.7)years,and the majority of them were aged 65 or above(113/390,29.0%),males(212/390,54.4%),and of Chinese ethnicity(363/390,93.1%).Though 68.7%(268/390;95%CI 63.9%-73.2%)demonstrated good influenza knowledge,only 12.1%(47/390;95%CI 9.0%-15.8%)received annual vaccination.Independent predictors of good knowledge included female sex(aOR 1.65,95%CI 1.04-2.62,P=0.034),tertiary education(aOR 8.76,95%CI 2.79-27.51,P<0.001),diabetes(aOR 2.68,95%CI 1.07-6.69,P=0.035),and vaccination history(aOR 1.89,95%CI 1.09-3.28,P=0.024).Only 24.4%(95/390)respondents received physician vaccination recommendations.Social media constituted the primary information source(34.6%vs.24.4%from physicians).Conclusions:A substantial knowledge-behavior gap exists in influenza vaccination among high-risk Malaysian adults.Despite good knowledge levels,vaccination rates remain critically low,highlighting that knowledge alone is insufficient to drive vaccination behavior.Low physician recommendation rates represent a critical missed opportunity for prevention.Healthcare system interventions focusing on provider education,systematic vaccination recommendations,and evidence-based social media campaigns are essential to improve vaccination coverage in high-risk populations.
