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published in(发表于) 2014/1/23 8:55:20
Experts said China’s annual Super 1000 children suffering from sequelae of vaccines

Experts said China's annual Super 1000 children suffering from sequelae of vaccine vaccine influenza | | | sequel _ news

Beijing authorities wide nets, January 22 (reporter Feng Huiling) according to voice of the Yonge-Canton evening news reported, according to the Chinese Center for disease control experts, the flu strains this year activity higher than in previous years. It is regrettable that, up to now, Taiwan's flu immunization rate of only 2% per cent.


Feng Zijian, China CDC Deputy Director said, was most active flu season in the winter, and this year compared to previous years, particularly hard.


Feng Zijian: influenza activity in our country this year is quite active, especially in southern areas, influenza activity levels are higher than in previous years. Popular strains are influenza b, and H1,H3, this year, the situation is more complex. Tends to be a strain previously dominated this year, three strains are significant cases.


Due to the various age groups are at risk of contracting the flu, children with higher rates, together with flu, through coughing, sneezing, extremely contagious droplets to others, cause the flu increased rapidly within a short time, and even cause death and other serious consequences.


Feng Zijian: the influenza season is 11 to 12 confirmed influenza hospitalization for every 100,000 people there were 142 people, figures are not small. In the northern city of influenza-related excess mortality was about twelve out of 10,000, if no flu deaths will not happen, and this is in addition to the increase in deaths.


Feng Zijian deeply sorry to say that, if there were no vaccines, influenza is not preventable diseases, experimental evidence, however, the flu strain had not mutated, the current influenza vaccine continues to be effective in preventing influenza, but also safe and reliable.


He felt even more distressing is that our contribution to flu vaccine production should not be overlooked, harsh reality is, whatever flu strain to become more active, influenza vaccination rates remain on a level of 2%. Feng Zijian greatly regret to say that, compared with the developed countries in the world, this figure is very low level.


Feng Zijian: now we two who are likely to use 1.3 billion, very low, 90% vaccines are used in developed countries around the world. Output of influenza vaccine manufacturers around 90%, is produced by vaccine manufacturers in the West. Global monitoring of influenza in China, just for selecting what strains are used each year to make flu vaccine, China's role is very great and very unique. Our influenza surveillance network is the most extensive, we who choose each year strains predicting strains are very large, but we did not let a global network for sensitive detection, by anticipating strains to produce vaccine for vaccination. The interests of health protection, we do not have to share.


Feng Zijian says with exasperation, future focus is to find ways to expand vaccination to prevent flu crowd and number of influenza vaccine.


Feng Zijian: influenza vaccine is a very important thing to do in the future, is to promote flu vaccine inoculation in the crowd, especially high-risk populations, geriatric patients, including pregnant women and children, to make them as much as possible the vaccination to protect health.


According to earlier reports published in 29 countries influenza vaccine, influenza vaccination rates in the United States the highest per 1000 were among the 270 people, immunization rate reached 27%. Countries in Europe vaccination rate has been maintained at 7.8%-cent range. And in China is only 2%-cent.


According to company prior to 7 cities such as Beijing, Shanghai, Guangzhou, survey of 2,160 inhabitants: lack of attention for flu, that influenza vaccination is too cumbersome, consider influenza vaccination is not safety is the main reason three of the effects of influenza vaccination.


There is also a reason, flu vaccine prices are now uniform, imported China made two prices, quite high, Xinhua interviewed several people in the street today.


Reporter: you now will take the initiative to receive influenza vaccine to prevent influenza?


People: a bit scared right now.


People now want to take my daughter vaccinated, but I'm afraid, what should happen?


Reporter: you're vaccinated what is worry?


People: free quality of vaccination what my heart has no bottom? Vaccination of every time there is a lot of people together, and doctors had been negligent in going to the opposite?


People: flu vaccine, but the effect is not very good. Tried the cold cold to worry about. Vaccine for fear of playing like in the future if there will be any problems.


In 2010, issued a succession of vaccine safety vaccine event has thrown a crisis of confidence, when somebody send a post on the Internet the baby, my mother obtained some parents no longer take you to fight for recognition, and some even offered to start vaccine "refused to play boom".


When it comes to vaccines, not to talk about the end of 2013 hepatitis b vaccine controversy, the incident has selected more than one named 20,130 public health hot news.


On July 28, 2013, the State health and family planning in the third world hepatitis day announced that after 20 years of effort, vaccination of newborns with hepatitis b vaccine in China full rate has reached more than 95%, children of the high incidence of hepatitis b in China has thoroughly changed. Achieving such results, hepatitis b vaccine has contributed, but at the end of 2013, Hunan, Guangdong and other places have been a challenge for hepatitis b vaccination cause infant deaths, hepatitis b vaccine has instantly become the target.


Subsequently, the State food and Drug Administration emergency stop the batch number of the hepatitis b vaccine. National Health Planning Commission recently released survey results.


As of January 14, 2014, China's food and drug inspection Institute of the State food and drug administration organizations extract produced by Shenzhen kangtai biological products company limited of 6 batches of the hepatitis b vaccine, 1315 sample was tested. Test results showed that 6 batches of samples of all inspection items are conform to business registration and Pharmacopoeia standards. By contrast with the approval and issuance data, 6 batches of sample test results are consistent with results on the same batches of products, approval and issuance, product quality is stable.


Report of 18 cases around Shenzhen kangtai biological products Corporation cases of suspected hepatitis b vaccine vaccination adverse reaction. Now is 1 cases heavy syndrome has rehabilitation discharged, the cases not excluded vaccine caused of exception reaction, now height suspected is allergy sexual shock of possibilities big; 17 cases death cases has clear and vaccination vaccine has nothing to do, which heavy syndrome pneumonia 3 cases, and choking 2 cases, and baby cover hot integrated levy 2 cases, and acute out bloody pulmonary edema and between mass sexual pneumonia 1 cases, and amniotic fluid inhalation sexual pneumonia and acute breathing failure 1 cases, and newborn pneumonia and newborn breathing distress syndrome 1 cases, and congenital lung small artery high pressure syndrome and amniotic fluid inhalation to breathing features failure 1 cases, and Severe bi-1 cases of hydronephrosis and renal failure, severe diarrhea and severe dehydration, 1 cases of neonatal Necrotizing Enterocolitis: gastrointestinal perforation in 1 and 1 case of neonatal septicemia, neonatal asphyxia, congenital heart disease in 1, 1 cases of sudden death in infants.


Comprehensive analysis on results of on-site inspections, product testing, quality review and investigation of cases diagnosis and found no Shenzhen kangtai biological products Corporation-hepatitis b vaccine has a quality problem.


Shenzhen kangtai-hepatitis b vaccine suspected the existence of security risks is finally being excluded, baby died after vaccination was eventually judged to be "coupled".


What is only coincidental event? Coincidence probability of the event occurring and how much? Whether vaccination is a normal phenomenon? The authorities wide night news wires Chinese Center for disease control and prevention, immunization planning, Wang Huaqing, Deputy Director of the Centre.


  What is only coincidental event?


Wang Huaqing: coupled events or for children could not be vaccinated him this disease occurs, simply catch the vaccine after the symptoms of the disease, which is coupled to a disease. This adverse reaction was completely different from the merely associated in time.


  Currently all the vaccinations among allergic probabilities about how much?


Wang Huaqing: we are now monitoring about allergic diseases, especially more serious incidence of anaphylactic shock is still relatively low, published by the World Health Organization scope of one out of 10,000 to two of the following.


  Coupling incident rate?


Wang Huaqing: coupling event are different, if you catch this epidemic, if during the incubation period could be high, or have some other disease, its probability of occurrence based on different populations in different regions, the situation is not the same.


  Can prevent the occurrence of or to avoid coupling events?


Wang Huaqing: vaccination of healthy we will. But there are times when he has been infected with a disease, a disease incubation period, this coupling is later seen to happen, bad probability calculations.


  National vaccination overall standard is probably what?


Wang Huaqing: our countries from 1978 implementation of the expanded programme on immunization, current vaccination rates of more than 90%.


A proper understanding of vaccines, understanding the public health incident is quite important. Vaccine solution has deeply troubled the Chinese smallpox and measles, to say "Bud" vaccine well deserved. But when the people, when faced with a domestic vaccine and imported vaccines, domestic confidence in vaccines is not good.


In Shandong, one parent told reporters that vaccination compulsory vaccines for their children, often have two choices, a free vaccine, is usually made, but sometimes the staff will recommend cost inoculation of imported vaccines, many parents for security reasons, prefer to buy their way out of imported vaccines to accept domestic vaccine.


Zibo City Center for disease control and biological products Administration Office Director Lou Lingyuan told reporters that many parents bias on domestic vaccine, combined with some time ago vaccine events, domestic vaccine trust less.


Henan Nanyang, Zhenping County, Ms Zheng child is a year old, and persisted in vaccines from birth, again for vaccinations at this time period, but began to hesitate not inoculated.


Mrs LAM: the vaccine, used to play, feel the need, but since the vaccine after it, gave children a vaccine would have to carefully, and some vaccines don't want to hit. Do not do it, but I'm afraid no immunity.


Continuous burst child vaccine accident occurred some time ago, if such a thing actually appears on its own children, accident responsibility determination, activist, as a non-professional knowledge, Ms Zheng didn't know what.


Zheng ladies: baby were vaccination appeared what problem has, you is activist also can't activist, we also no medical expertise, not knows appeared this symptoms is what caused of, how to defined, how to activist, hospital themselves out of medical accident identification results as General people for and not knows, also somewhat questioned, what has who to tube they, so on they of identification results also not convinced.


According to media reports, China's annual vaccination over 1 billion doses. This is a staggering figure, according to the Chinese Center for disease prevention and control center EPI Wang Huaqing, Deputy Director of the vaccine adverse reaction probability of one out of 10,000 to be released, has more than 1000 children each year suffer from sequelae of various vaccines, left permanently disabled. Characteristics of the vaccine itself determines the current vaccines do not exist 100% security , which led to sick after the vaccination injury cases persist.


Zhengzhou public to her children, not long ago in a provincial hospital for leprosy vaccine inoculation, inoculation finished that night, child's body began to appear in many adverse reactions, doctors say, it is a normal response to differences in different individuals.


Miss Liang: that same night after vaccine became ill with fever, continued for two days, and then we call the vaccine, he says that individual differences in children is different, if you weren't a high fever, do not give him medication and physical cooling, and generally do not have anything.


According to the doctor's statement, Madam Leung didn't get medication for their children, but slight fever two days after the child's situation worse.


Accompanied by symptoms such as fever, cough, rash all over, Madam Leung child's illness has been continued for nearly two weeks. Prior to this, she used to take children to the hospital, reception said in unison, not part of vaccine adverse reactions.


Head of the people's Hospital of Zhengzhou immunization jingli: if it is pre-what is uncomfortable, hidden don't show it, which itself is a little bit cold, or occasionally have a cough, runny nose, also failed to note that at that time, may cause coupling. Itself, he will have some adverse reaction to vaccines, disease, and then increase the reaction, this situation is there.


According to the physician's statement, which should belong to the individual, but her colleagues kid have also encountered the same problem.


Ms Hou: leprosy vaccine when we was eight months, I know these kids play after the leprosy vaccine are characterized by high fever, cough respiratory tract inflammation, and is the course longer, it is a week or two.


It is understood that national immunization plan provides for 11 compulsory inoculation of a vaccine, this is all kind of vaccine free all the independent research and development of China's enterprises-live attenuated vaccine, produced some vaccine formulations and no different from 30 years ago, and most vaccines are inactivated vaccine risk is relatively small. Zhengzhou city CDC said one staff member, for the time being, import use rate is not high, some of these species are not imported vaccines, leprosy vaccine belongs to this category.


Staff: there is no inactivation of hemp, all are alive!


Reporter: in hospital physicians, adverse reactions to vaccination rates through years of clinical experience has shown that the vaccine, whether domestically produced or imported, only about one out of 10,000. Zhengzhou people's hospital physician responsible for vaccine programme jingli, said she employed for ten years, non-conventional adverse reactions also met persons vaccinated and vaccinated children of suspected adverse reactions encountered, the hospital is unable to determine.


Jingli: medical organizations or inoculated points, cannot be determined, only reporting for disease control, and organizational identification of abnormal reaction in the city group, group after checking by an expert in order to give parents an answer. If an exception is a vaccination reaction, the State provides free seedlings, you should give some compensation.


Wired Chinese Center for disease control and prevention, immunization planning, Wang Huaqing, Deputy Director of the Centre.


Moderator: ever seen a number of comments and the number, saying that China's vaccine technology with foreign vaccine compared to 20 or even 30 years behind, really, is that correct? At present the level of China's vaccine in what kind of situation?


Wang Huaqing: simply cannot take the time backward, some vaccine live attenuated hepatitis a vaccine, there are vaccines against hepatitis b, and so on, we spent more than a few decades, has also spent decades abroad, this cannot be measured in its time, this technique is not lagging behind.


Moderator: I've seen a comment article, swine flu, for example, less than 90 days, a vaccine used to inject hundreds of millions of people, it completed the process of approval, clinical trials to market, than abroad, others minimum required six months, even if long years before. This is a joke, what do you think of this?


Wang Huaqing: on this swine flu vaccine throughout clinical experiment process and listed process I are participation has, and just said of with is short a time within research out of, we main is got has who provides of vaccine strains zhihou, from clinical experiment began to last listed with has relative short of time, but this process in the I understanding to we throughout involves of program no reduced, links also no reduced, just is uses we national resources of advantage integration of a advantage, improve has research of a efficiency, May we make a clinical may need to phase I or phase II or phase III may be time is very long, but this time our links without reduction programs are also in clinical trials not diminished, so the vaccine, it is carried out strictly in accordance with the relevant requirements of the State. We can also see another national has more than 100 million cases of swine flu vaccinations, we adopted our detection of adverse reactions, did not find any security issues. Therefore, the vaccine should be assured.


Moderator: investigative journalist found from all over, due to a misunderstanding or fear, some parents do not give their children vaccinated, which can result in what are the consequences?


Wang Huaqing: I think it's for individuals or children not vaccinated, he'd had no immunity, future will be at risk of contracting the appropriate vaccines for infectious diseases. Another is if more and more people are never going to vaccination may be the kind of people who do not have a protective power, resulting in epidemics and outbreaks of disease can occur because abroad there are many painful lessons.


Wang Huaqing: vaccinations generally have an adapted populations, as a parent, your child before vaccination, your child's health may be more familiar with some, whom have a fever, no other disease, or said he was, in itself, have any allergies or diseases of the nervous system, and so on. Vaccination of health status to tell doctors say vaccinations, doctors will make judgments according to health. This may avoid some of the coupling, avoid disease after vaccination, this is very important.


(Original title: vaccine expert: over 1000 children per year in China suffer from sequelae of vaccine)

(Edit: SN077)
January 22, 2014 China broadcasting network
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专家称中国每年超1000个孩子患上疫苗后遗症|疫苗|流感|后遗症_新闻资讯

  央广网北京1月22日消息(记者冯会玲)据中国之声《央广夜新闻》报道,据中国疾控中心专家介绍,今年流感毒株比往年活跃度更高。遗憾的是,截止目前,我国流感疫苗的接种率仅仅只有2%到3%。


  中国疾控中心副主任冯子健介绍说,冬季本来是流感最为活跃的季节,而今年与往年相比,尤为严重。


  冯子健:今年流感在我们国家的活动还是比较活跃的,特别是南方地区,流感活跃程度比前几年都要高。流行的毒株是H1,H3和乙型流感,今年的情况比较复杂。以前往往是一个毒株占主导地位,今年三个毒株都占相当的病例。


  由于各个年龄段人群都很容易感染流感,儿童感染率更高,加上流感大都通过咳嗽、打喷嚏等飞沫极其容易传染给他人,会使流感病例短时间内迅速增加,甚至会造成死亡等严重后果。


  冯子健:11年到12年的流感季节是每十万人有142人确诊流感住院,数字不小。在北方城市流感相关的超额死亡大概是十万分之十二,如果没有流感就不会发生这样的死亡,这是额外增加的死亡。


  冯子健深表遗憾地说,如果没有疫苗,流感确实是无法预防的疾病,但实验依据证明,流感毒株并没有发生变异,目前的流感疫苗仍然能有效预防流感,而且安全可靠。


  更让他觉得痛心的是,我国对流感疫苗的生产做出了不容忽视的贡献,残酷的现实却是,不管流感毒株变得多活跃,我国流感疫苗的接种率仍然维持在2%到3%的水平。冯子健极为遗憾地说,与世界发达国家相比,这个数字是极低的水平。


  冯子健:现在我们13亿人大概使用量有3%,非常低,全球90%疫苗使用量都用在发达国家。流感疫苗生产厂家产量90%左右,是由西方大疫苗生产企业生产。中国在全球监测流感,就是为了选择每年用什么毒株来组成流感疫苗,中国作用非常巨大,也非常独特。我们的流感的监测网络是最庞大的,我们每年世界卫生组织选择毒株预测毒株非常大,可是我们没有让全球的敏感检测网络,通过预测毒株来生产疫苗用于接种。这样的健康保护利益,我们没有得到分享。


  冯子健无奈地说,未来预防流感的工作重点就是要想方设法扩大接种流感疫苗的人群和数量。


  冯子健:今后流感疫苗一个非常重要的工作,就是要推动流感疫苗在人群中的接种,特别是一些高危人群,老人慢性病患者包括孕妇还有儿童,要让他们尽可能多的接种,来保护健康。


  根据早前发布的29个国家流感疫苗使用报告当中看,流感疫苗接种率在美国最高,大概每1000人当中有270人使用,接种率达到27%。而欧洲国家接种率则一直维持在7.8%-17.7%不等。而在中国仅仅是2%-3%。


  据之前一家公司对北京、上海、广州等7城市2160名居民进行的调查显示:对流感缺乏重视,认为接种流感疫苗太麻烦,顾虑接种流感疫苗不安全是影响流感疫苗接种的三个主要原因。


  另外还有一个原因,现在流感疫苗的价格不统一,进口国产两种价格,还挺高,记者今天在街头采访了几位市民。


  记者:你现在自己会主动去接种流感疫苗来预防流感吗?


  市民:现在有点害怕了。


  市民:现在既想带女儿打疫苗,又怕打,万一再出事可怎么办?


  记者:你对接种疫苗有哪些担心呢?


  市民:免费接种的疫苗质量到底怎么样心里没有底?还有就是每次接种都好多人在一起,然后医生如果疏忽了,会不会事得其反?


  市民:流感疫苗俺打了,打过但是效果不太好啦咋。打过还是该感冒感冒,可担心。害怕今后再打啥样的疫苗会不会出现啥问题。


  在2010年,连续发出的疫苗安全事件就曾引发疫苗信任危机,当时,有人在网上发出这样一个帖子《宝宝,妈妈不再带你打疫苗》得到一些家长的认同,有的甚至提出发动疫苗"拒打潮"。


  说到疫苗,就不能不说说2013年底发生的乙肝疫苗风波,这一事件已经入选多个机构评选的2013十大公共卫生热点新闻。


  2013年7月28日,国家卫生计生委在第三个世界肝炎日宣布,经过20年的努力,我国新生儿乙肝疫苗全程接种率已经达到了95%以上,我国儿童乙肝高发的局面已经彻底改变。取得这样的成绩,乙肝疫苗功不可没,但是2013年年底在湖南、广东等地先后出现质疑乙肝疫苗接种导致婴儿死亡事件,让乙肝疫苗瞬间成为众矢之的。


  随后,国家食药总局紧急叫停相关批号的乙肝疫苗。国家卫生计生委不久前公布了调查结果。


  截止到2014年1月14日,中国食品药品检定研究院对国家食品药品监督管理总局组织抽取的深圳康泰生物制品股份有限公司生产的6个批次、1315支的乙肝疫苗样品进行了检验。检验结果显示,这6个批次样品的全部检验项目均符合企业注册标准和国家药典标准。经与批签发数据对比,6个批次样品检验结果与同批次产品批签发结果一致,说明产品质量稳定的。


  各地报告的18例深圳康泰生物制品股份有限公司乙肝疫苗疑似预防接种异常反应病例。现在是1例重症已康复出院,该病例不排除疫苗引起的异常反应,现在高度怀疑是过敏性休克的可能性大;17例死亡病例已明确与接种疫苗无关,其中重症肺炎3例、窒息2例、婴儿捂热综合征2例、急性出血性肺水肿并间质性肺炎1例、羊水吸入性肺炎并急性呼吸衰竭1例、新生儿肺炎并新生儿呼吸窘迫症1例、先天性肺小动脉高压症并羊水吸入致呼吸功能衰竭1例、重症双肾积水并肾功能衰竭1例、重型小儿腹泻并重度脱水1例、新生儿坏死性小肠结肠炎并消化道穿孔1例、新生儿窒息并新生儿败血症1例、先天性心脏病1例、婴儿猝死1例。


  综合现场检查、产品抽验结果、质量回顾分析以及病例调查诊断情况,没有发现深圳康泰生物制品股份有限公司生产的乙肝疫苗存在质量问题。


  深圳康泰生产的乙肝疫苗疑似存在着安全隐患终于得到排除,婴儿接种疫苗后死亡最终被判定为"偶合事件"。


  什么是偶合事件?偶合事件发生的概率又有多少呢?是否是在接种疫苗正常发生的一个现象呢?《央广夜新闻》连线中国疾病预防控制中心免疫规划中心副主任王华庆。


  什么是偶合事件?


  王华庆:偶合事件,就是儿童打不打疫苗他都会发生这种疾病,只不过就是赶上打疫苗之后疾病的症状出现了,这种情况就是偶合发生的一个疾病。这跟不良反应完全是两回事情,只不过是时间上有关联。


  目前国内所接种的所有疫苗当中,发生过敏的概率大概有多少?


  王华庆:目前我们监测到的关于过敏性疾病尤其是比较严重的过敏性休克发生率还是比较低的,在世界卫生组织公布的百万分之一到二以下的范围。


  偶合事件发生率达到多少?


  王华庆:偶合事件就不一样了,如果赶上这个时候有传染病流行,如果出在潜伏期可能就高,或者还有一些其他疾病的话,它发生的概率根据不同地区不同人群,情况也不一样。


  能否预防或者避免偶合事件的发生?


  王华庆:健康状态下我们才会接种。但是有些时候他已经感染了某个疾病,处在某个疾病潜伏期,这种情况下后期会出现偶合的发生,概率不好计算。


  国内接种疫苗的整体水平大概是怎么样的?


  王华庆:我们国家从1978年实施计划免疫,目前接种率在90%以上。


  正确地认识疫苗,理解这次公共卫生事件相当重要。疫苗解决了曾深深困扰中国人的天花和麻疹,要说“防患于未然”,疫苗当之无愧。但当国人面对国产疫苗和进口疫苗时,对国产疫苗的信任度普遍不高。


  在山东,一位家长告诉记者,给孩子接种强制疫苗时,往往有两种选择,一种是免费的疫苗,通常是国产,但有时工作人员也会另外推荐需要花钱接种的进口疫苗,很多家长出于安全考虑,宁愿花钱换进口疫苗也不愿接受国产疫苗。


  淄博市疾控中心生物制品管理办公室娄灵源主任告诉记者,很多家长对国产疫苗存在偏见,加之前段时间疫苗事件影响,国产疫苗信任度有所降低。


  河南南阳镇平县的郑女士孩子已经一岁多了,从出生开始都坚持打疫苗,此时又到了疫苗接种期,却开始犹豫接不接种。


  郑女士:这个疫苗,以前打了觉得很有必要,但是自从看到这个疫苗出事以后,给孩子们打疫苗就得慎重点,有的疫苗就不想打了。不打吧,又怕没有免疫力了。


  前段时间不断爆出小孩打疫苗出现事故,如果这样的事儿真出现在自己孩子身上,事故责任认定,怎样维权,作为非专业认识,郑女士感觉心里没底儿。


  郑女士:娃们打预防针出现啥问题了,你就是维权也没法维权,咱也没有医学专业知识,不懂得出现这种症状是啥引起的,咋样去界定,咋样去维权,医院自己出的医疗事故鉴定结果作为一般人来说又不懂得,也有点质疑,究竟有谁去管他们,所以对他们的鉴定结果也不信服。


  据媒体报道,中国每年疫苗预防接种达10亿剂次。这是个惊人的数字,按照中国疾病预防控制中心免疫规划中心王华庆副主任公布的疫苗不良反应概率百万分之一到二来算,每年要有超过1000个孩子患上各种疫苗后遗症,留下终身残疾。而疫苗本身的特性决定了目前不存在百分之百安全的疫苗,这也就导致接种疫苗之后反而生病的伤害病例一直存在。


  郑州市民梁女士的孩子,不久前在一家省级医院接受了麻风疫苗的接种,接种完当天晚上,孩子的身体就开始出现多种不良反应,医生却表示,这属于不同差异个体的正常反应。


  梁女士:打完疫苗当天晚上就开始发烧,持续了两天,然后我们就电话咨询了打疫苗的地方,他说孩子个体差异不一样,你要不是高烧的话,就不要给他用药,物理降温就行了,一般不会有啥事。


  按照医生的说法,梁女士没有及时给孩子用药,可是低烧两天之后,孩子的状况更加糟糕了。


  伴随着高烧、咳嗽、全身皮疹等症状,梁女士孩子的病情一直持续了近两个星期。在此之前,梁女士曾经带着孩子去了几家医院就诊,接诊医生都异口同声的表示,这不属于疫苗的不良反应。


  郑州人民医院免疫规划负责人敬丽:如果是前期有什么不舒服了,隐性的没有表现出来,它本身就稍微有点受凉,或者偶尔有点咳嗽、流鼻涕,当时也没注意,有可能会造成偶合症。疫苗本身他会有一定的不良反应嘛,到时候跟疾病合并了,然后加重反应,这种情况是有的。


  按照医师的说法,这种情况应该属于个别现象,但是梁女士几位同事家的孩子也都遭遇到了同样问题。


  侯女士:我们也是当时八个月的时候打麻风疫苗,我知道的这些小孩儿打了麻风疫苗后都是发高烧,出现咳嗽呼吸道炎症,而且都是病程时间比较长,都是一到两个星期。


  据了解,国家免疫计划中规定了11种强制性接种的一类疫苗,这所有免费接种的一类疫苗全部都是由我国企业自主研发生产的减毒活疫苗,其中一些疫苗的制作配方和30年前并无区别,而进口疫苗大多都是风险度较小的灭活疫苗。郑州市疾控中心的一位工作人员表示,就目前来说,进口疫苗的使用率并不高,其中一些种类是没有进口疫苗的,麻风疫苗就属于此类。


  工作人员:含麻类的就没有灭活的,全部是活的!


  记者:在医院的医师看来,接种疫苗的不良反应率通过多年的临床经验表明,不论是国产的还是进口的疫苗,只有大概百万分之一。郑州市人民医院负责疫苗规划工作的医师敬丽表示,在她从业的十年多时间里,还没有遇到过出现非常规不良反应的接种者,而遇到疑似出现不良反应的接种儿童,医院是无法进行判定的。


  敬丽:医疗机构或者接种点,是不能做判定的,只能报到区疾控,然后市里组织异常反应鉴定专家组,由专家组鉴定之后,才能给家长答复。如果是属于疫苗接种异常反应的话,国家规定的这些免费的苗儿,应该会给一定补偿。


  连线中国疾病预防控制中心免疫规划中心副主任王华庆。


  主持人:曾经看到过一这样一些评论和数字,说中国现在的疫苗技术与国外的疫苗技术相比落后20甚至30年,真的是这样吗?目前我国疫苗水平处于一种什么样的状况?


  王华庆:不能简单的拿时间来说落后的状况,有一些疫苗像减毒活疫苗,还有乙肝疫苗等等这些,我们都用了几十年了,国外也用了几十年了,这个不能用它的时间来衡量这个技术是不是落后了。


  主持人:我曾经看到一篇评论文章,以甲流为例,不到90天,一支用于上亿人注射的疫苗,就完成了立项、临床实验到上市的过程,跟国外来比,人家最短要半年,如果长的话甚至是几年的时间。这简直就是形同儿戏,您对此有什么看法?


  王华庆:关于这个甲流疫苗整个临床实验过程和上市过程我都参与了,而且刚才说的用很短一个时间之内研发出来的,我们主要是拿到了世界卫生组织提供的疫苗株之后,从临床实验开始到最后上市用了相对短的时间,但是这个过程中我了解到我们整个涉及到的程序没有减少,环节也没有减少,只不过是利用我们国家资源的优势整合的一个优势,提高了研发的一个效率,可能过去我们做一个临床可能需要一期也好二期也好三期也好可能是时间是非常长的,但是这次我们这些临床实验的环节没有减少程序也没有减少,所以出来的疫苗,都是严格按照这种国家的相关要求来进行的。另外一个我们也可以看到全国接种了1亿例以上的甲流疫苗,我们通过我们上述不良反应检测,没有发现任何安全性问题。所以对这个疫苗应该放心。


  主持人:从各地记者调查发现,由于误解或者恐慌,有一些家长不给自己的孩子接种疫苗,这样会导致怎样的后果?


  王华庆:我想就是对于个体或儿童来说不接种疫苗的话他本身就没有免疫力了,将来就会容易感染这个相应的疫苗针对传染病。再一个就是如果这样的人越来越多了都不去接种疫苗了可能这个人群就没有一个保护力了,结果就会出现疾病的流行和爆发,因为国外已经有很多这样惨痛的教训了。


  王华庆:接种疫苗一般都有一个适应的人群,作为家长,你的小孩去接种疫苗之前,你对于孩子的健康状况可能是更了解一些,他最近有没有发烧,得没得过其他疾病,或者说他本身就有什么过敏,或者它有什么神经系统疾病等等。健康状况要如实跟接种医生说,接种医生会根据健康状况做判断。这样可能避免一些偶合,避免接种疫苗之后导致的一些疾病,这个非常重要。


(原标题:疫苗专家:中国每年超1000个孩子患上疫苗后遗症)


(编辑:SN077)
2014年01月22日23:21
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