국가표준 예방접종률 조사방법을 이용한 3세 아동의 예방접종률
Vaccination Coverage Rate among 3 Year Olds (Cohort Born in 2007) Using Korea National Immunization Survey Method
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참고문헌
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초록
Objectives: The purpose of measuring vaccination coverage rate is to monitor adequate vaccination status for reducing communicable disease occurrence. So lots of nations surveyed vaccination coverage by the use of various measuring methods, and developed immunization policy and program following to these survey results. This study developed standard Korea National Immunization Survey method for measuring vaccination coverage in national and metropolitan level, and then measured real status, finally, suggested further developmental directions of national standard survey method. Methods: We developed the formal process as a national standard, go through Korean national advisory committee for vaccination and then Statistics Korea. We performed the computer aided telephone interview. The source of information is household-retained vaccination cards. And survey population is 7,040 at 3-year-olds (cohort born in 2007) who registered in national immunization registry system. The unit of sampling is each metropolitan and provincial area using minimum sample size determination method (precision 5%, confidence interval 95%, assumed coverage rate 50%). Results: The national vaccination coverage per dose was 1 dose BCG 98.8%, 1st dose Hepatitis B 99.0%, 2nd dose Hepatitis B 99.3%, 3rd dose Hepatitis B 98.7%, 1st DTaP 99.6%, 2nd dose DTaP 99.5%, 3rd dose DTaP 99.1%, 4th dose DTaP 93.5%, 1st dose poliovirus 99.4%, 2nd dose poliovirus 99.3%, 3rd dose poliovirus 98.4%, 1st dose MMR 99.2%, 1 dose varicella 97.7%, 1st dose Japanese encephalitis 97.9%, 2nd dose Japanese encephalitis 95.9%, 3rd dose Japanese encephalitis 90.7%. Other vaccination coverage per dose was 1st dose Hib 90.9%, 2nd dose Hib 87.7%, 3rd dose Hib 82.5%, 4th dose Hib 69.4%, 1st dose Hepatitis A 84.5%, 2nd dose Hepatitis A 78.1%, 1st dose pneumococcus 67.1%, 2nd dose pneumococcus 60.5%, 3rd dose pneumococcus 56.7%, 4th dose pneumococcus 51.4%, 1st dose rotavirus 6.0%, 2nd dose rotavirus 5.5%, 3rd dose rotavirus 5.1%. In completeness for each vaccine, total 3 doses of Hepatitis B was estimated at 98.2%, 3 doses of DTaP 99.0%, 4 doses of DTaP 93.2%, 3 doses poliovirus of 98.4%. And series vaccination coverage was 95.9% at 3:3:3:1, 91.9% at 4:3:1, 90.4% at 4:3:1:3:1, 88.7% at 4:3:1:3:1:1, 56.3%at 4:3:1:3:1:1:3. Conclusions: The Korean vaccination coverage rates are adequate in terms of the herd immunity. To improve measuring method for national vaccination coverage rate, our nation must have adequate national immunization registry system. So, we can obtain accurate and timely individual immunization records.
Abstract
Objectives: The purpose of measuring vaccination coverage rate is to monitor adequate vaccination status for reducing communicable disease occurrence. So lots of nations surveyed vaccination coverage by the use of various measuring methods, and developed immunization policy and program following to these survey results. This study developed standard Korea National Immunization Survey method for measuring vaccination coverage in national and metropolitan level, and then measured real status, finally, suggested further developmental directions of national standard survey method. Methods: We developed the formal process as a national standard, go through Korean national advisory committee for vaccination and then Statistics Korea. We performed the computer aided telephone interview. The source of information is household-retained vaccination cards. And survey population is 7,040 at 3-year-olds (cohort born in 2007) who registered in national immunization registry system. The unit of sampling is each metropolitan and provincial area using minimum sample size determination method (precision 5%, confidence interval 95%, assumed coverage rate 50%). Results: The national vaccination coverage per dose was 1 dose BCG 98.8%, 1st dose Hepatitis B 99.0%, 2nd dose Hepatitis B 99.3%, 3rd dose Hepatitis B 98.7%, 1st DTaP 99.6%, 2nd dose DTaP 99.5%, 3rd dose DTaP 99.1%, 4th dose DTaP 93.5%, 1st dose poliovirus 99.4%, 2nd dose poliovirus 99.3%, 3rd dose poliovirus 98.4%, 1st dose MMR 99.2%, 1 dose varicella 97.7%, 1st dose Japanese encephalitis 97.9%, 2nd dose Japanese encephalitis 95.9%, 3rd dose Japanese encephalitis 90.7%. Other vaccination coverage per dose was 1st dose Hib 90.9%, 2nd dose Hib 87.7%, 3rd dose Hib 82.5%, 4th dose Hib 69.4%, 1st dose Hepatitis A 84.5%, 2nd dose Hepatitis A 78.1%, 1st dose pneumococcus 67.1%, 2nd dose pneumococcus 60.5%, 3rd dose pneumococcus 56.7%, 4th dose pneumococcus 51.4%, 1st dose rotavirus 6.0%, 2nd dose rotavirus 5.5%, 3rd dose rotavirus 5.1%. In completeness for each vaccine, total 3 doses of Hepatitis B was estimated at 98.2%, 3 doses of DTaP 99.0%, 4 doses of DTaP 93.2%, 3 doses poliovirus of 98.4%. And series vaccination coverage was 95.9% at 3:3:3:1, 91.9% at 4:3:1, 90.4% at 4:3:1:3:1, 88.7% at 4:3:1:3:1:1, 56.3%at 4:3:1:3:1:1:3. Conclusions: The Korean vaccination coverage rates are adequate in terms of the herd immunity. To improve measuring method for national vaccination coverage rate, our nation must have adequate national immunization registry system. So, we can obtain accurate and timely individual immunization records.
참고문헌 (26)
- Brownson RC, "Gillespie KN. Evidence-based public health", pp.146~147 (2003), Oxford university press
- Center for Disease Control and Prevention, "National and state vaccination coverage among children aged 19-35 months-United States, 2010", MMWR, 60(34), pp.1157~1163 (2011)
- Chen SZ, "The national childhood immunization registry in Israel", Procedia in Vaccinology, 4, pp.9~13 (2011)
- Crowcroft NS, "Action on immunization. No data, no action", Arch Dis Child, 94, pp.829~830 (2009)
- Fairbrother G, "Measuring immunization coverage", Am J Prev Med, 19(3), pp.78~88 (2000)
- Hinman AR, "Vaccinepreventable disease, immunization, and MMWR- 1961-2011", MMWR, 60, pp.49~53 (2011)
- Description and comparison of the methods of cluster sampling and lot quality assurance sampling to assess immunization coverage, "Hoshaw-Woodard S", WHO, 2~3 (2001)
- Hull BP, "Australian Childhood Immunisation Register - a model for universal immunization registers?", Vaccine, 27(37), pp.5054~5060 (2009)
- Immunisation coverage and vaccine preventable diseases in New Zealand, "Immunisation Advisory Centre", ~ (2010)
- The 2009 National survey on fertility, family health and welfare in Korea, "Korean Institute for Health", Korean Institute for Health and Social Affairs, ~ (2009)
- Kim YT, "Demonstration project for expansion of NIP (national immunization program) coverage", J Korean Med Assoc, 48(6), pp.579~586 (2005)
- 이석구, "0～12세 아동에 대한 국가예방접종등록시스템 데이터베이스의 오류율, 충실도, 적시성 평가", 한국모자보건학회지, 13(2), pp.135~144 (2009), 한국모자보건학회
- 이석구, "필수예방접종비용 지원 수준별 전산등록의 질적 차이*", 한국모자보건학회지, 16(1), pp.113~121 (2012), 한국모자보건학회
- Ministry of Health, "The National Childhood Immunisation Coverage Survey 2005", Public Health Intelligence Occasional Bulletin, 39, pp.1~72 (2007)
- Papania M, "For better immunization coverage, measure coverage better", Lancet, 367, pp.925~926 (2006)
- 박보영, "Estimation of Nationwide Vaccination Coverage and Comparison of Interview and Telephone Survey Methodology for Estimating Vaccination Status", Journal of Korean Medical Science, 26(6), pp.711~719 (2011), 대한의학회
- Nationwide vaccine coverage level; conceptual methodology and survey, "Park SK", Seoul National University, Korean Centers for Disease Control and Prevention, 1~239 (2009)
- Public Health Agency of Canada, "Canadian national report on immunization", CCDR, 32(S3), pp.1~44 (2006)
- Salmaso S, "Infant immunization coverage in Italy: estimates by simultaneous EPI cluster surveys of regions", Bulletin of the World Health Organization, 77(10), pp.843~849 (1999)
- Development of vaccination coverage estimation methods and evaluation indicators of national immunization program in Korea, "Shin EC", Catholic University, Korean Centers for Disease Control and Prevention, 1~332 (2005)
- NHS immunisation statistics England 2009-10, "The NHS Information Centre.", The NHS Information Centre, 7~76 (2010)
- Theeten H, "Infant vaccination coverage in 2005 and predictive factors for complete or valid vaccination in Flanders, Belgium: an EPI-survey", Vaccine, 25(26), pp.4940~4948 (2007)
- Immunization coverage estimates, "WHO", UNICEF, 2011
- investing in health, "World Development", Oxford university, 8~ (1993)
- Training for mid-level managers: the EPI coverage survey, "World Health Organization", WHO, 1~100 (1993)
- Monitoring immunization services using the Lot Quality Technique, "World Health Organization", WHO, ~, pp.WHO (1996), VRO[DOI]