Pediatric outpatients are overcrowded, coughing in the office is one after another... This winter, the flu is on the rise, monitoring data shows that the reported cases in China are higher than the same period in the past three years.
According to the World Health Organization, vaccination is the most effective way to prevent influenza. China's influenza vaccination rate has not yet established scientific statistics, but from the annual total of 30 million vaccine supplies, the vaccination rate is only 2%. Why is the “most effective method†lacking interest? Reporters were investigated.
Most adults don’t have a cold for the flu vaccine.
In November 2009, Ms. Luo, a medical staff member, was vaccinated with a vaccine, but she was infected with a stream. Since then, friends and relatives have no longer dared to get a flu shot under her dissuasion.
Experts pointed out that the chances of vaccination against the virus are very small. But in addition to people like her who have resisted the vaccine because of their own experiences, most adults are not too "cold" to get flu shots.
Liu Zengyan from Tongji Medical College of Huazhong University of Science and Technology conducted a telephone follow-up survey on influenza vaccination and influencing factors among residents over 18 years old. The results showed that even during the influenza A H1N1 pandemic, the vaccination rate of the A vaccine was only 10.67% in the 10853 valid questionnaires, and the seasonal influenza vaccination rate was 7.43%. Experts said that considering the questionnaires in the city, the number of sampled patients in the city accounted for more than 70%, the rural areas with low vaccination rate accounted for a small number of samples, so the overall national vaccination rate is even lower.
Huang Ting and Fan Junxing of the China CDC and the multi-site CDC surveyed 9,673 people in Sichuan and Henan, and found that there were 4,381 people who were unwilling to receive the flu vaccine. Among these people, more than 30% are due to “worry about the quality and safety of the vaccineâ€; 26.5% are “not very aware of the flu vaccineâ€; 17.8% are considered “the possibility of vaccination not reducing the flu†And "influenza is a minor illness, no need to vaccinate" accounted for 5.0%. In addition, some people said that they did not know that there was a flu vaccine and that the vaccination costs were too high, which led to reluctance to vaccinate.
Parents of minors are not waiting for the flu vaccine
Although it is a high-risk group, the vaccination rate of minors is not optimistic. Li Meiqin and others from the Prevention and Health Care Section of Zhongguancun Hospital in Beijing randomly selected the parents of the 2-6th grade students in the three primary schools in the area as the survey subjects. The study found that only 33.0% of the pupils in the surveyed families were vaccinated in 2012. In 2013, only 47.5% had vaccination plans.
"We didn't take the flu seriously." Ms. Ma, a primary school student in Chaoyang District, Changchun, told the reporter that the children were vaccinated with various types of vaccines before the age of three. They are all kinds of vaccines required by the state. As the children grow up, they will be vaccinated. The awareness of the vaccine is getting weaker. But at the peak of the flu in late December 2017, her daughter was also recruited, and the children’s class had almost half of the class with the flu, and even students were hospitalized for the flu.
In Binhai County, Jiangsu Province, the flu vaccination rate for young children in 2016 was only 12.87%. The county's CDC Mei Maodong found that the children were not vaccinated mainly because parents were worried about the adverse reactions of the vaccine, followed by not knowing the flu. Vaccination, feeling that the child is in good health does not need to be vaccinated Surprisingly, the rate of vaccination for private kindergarten children is higher than that for public kindergartens. Rural household registration is higher than urban household registration, and migrant children are higher than local children. The higher the monthly household income, the lower the vaccination rate.
“Parents with rural household registration, although their income is not high, are more inclined to follow the doctor’s advice to give their children a second-class vaccine such as flu vaccine. Although the parents of urban registered children have received good education, there is a misunderstanding of the flu vaccine, resulting in Children's vaccination rate is low." Mei Maodong believes that parents' awareness of the flu vaccine directly affects the child's vaccination rate.
The reporter's investigation also found that many parents do not want their children to "do more than one shot", which also led to the flu vaccine not being popularized. The reporter learned from several community health service centers in Hefei, Anhui Province that many of the parents who took the children to vaccinate in recent years have chosen a combination vaccine that can simultaneously immunize JE, whooping cough and various diseases of the flu. Although the price of the combined vaccine is more expensive, it is still sought after by parents, and the peak period of vaccination is even “a difficult to findâ€. If there is no combination vaccine, many parents will only give the child the necessary immunity and will not specifically vaccinate the flu.
Let "Vaccine Jun" become a "reliable guardian"
Disease control experts said that because the influenza virus will mutate, the vaccine protection ability is not "fail safe", such as the current use of trivalent influenza vaccine is difficult to resist the "type B Y virus" popular this winter. However, the use of vaccines for many years proves that flu vaccination is an effective means to reduce the flu pandemic, which can reduce the flu mortality rate and the incidence of serious complications of the respiratory system and cardiovascular and cerebrovascular system.
"The flu vaccine has entered China for a short time, but it is still a new thing for most people. Therefore, if you want everyone to accept it, you have to tell everyone about the advantages and disadvantages of this vaccine and the necessity of vaccination." Changchun Municipal Center for Disease Control and Prevention Sun Yuli, chief of the outpatient department of preventive medicine, said that the relevant departments should increase the vaccination rate of influenza by increasing publicity.
Wang Zuohua, director of the Lixian County Center for Disease Control and Prevention in Anhui Province, believes that it is unrealistic to improve the overall vaccination rate of influenza vaccine in the population, but for some key populations, try to achieve full coverage.
The safety of vaccine products is one of the factors affecting public vaccination. The State Food and Drug Administration indicated that it will continue to strengthen the sampling inspection of listed vaccine products and the inspection of production sites, and timely investigate and investigate the quality and safety problems found. The suspected crimes are transferred to the public security organs for criminal responsibility. (Xinhua News Agency)
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