关键词:
Science
Humanities and Social Sciences
multidisciplinary
摘要:
AN investigation, planned and carried out jointly by the Yale Poliomyelitis Study Unit and the World Health Organization Regional Poliomyelitis Laboratory of the Americas, during the course of a nation-wide vaccination campaign in Costa Rica, sought to determine the effectiveness of a trivalent oral poliovirus vaccine in immunizing young children living in a tropical environment. More specifically, its aims were to measure the rate of antibody conversion and antibody increase induced by two doses of vaccine given at a month's interval; to determine the prevalence of non-poliovirus enteroviruses in the children, and their possible inhibitory effect on the efficiency of vaccination; and to estimate the extent to which attenuated strains that had been administered spread within the families of vaccinees, and the duration of their excretion by vaccinees and other children in their families. At the same time, a study was made of polioviruses recovered from flies caught in the area of the trial to see if they were related to those used in *** investigation centred on a group of families living in the same village. In each a single child under two years of age, the index child, received the trivalent vaccine on two occasions. In most of the families there were several children under five years of age. The whole group of vaccinees and sibling contacts was tested for enteroviruses and antibody-levels by means of rectal swabs and blood sampling before, during and after the *** results showed that, in general, the immunizing capacity of this particular vaccine, though moderately good, was not entirely satisfactory. Its effectiveness varied considerably for each of the three strains of polio virus included. The post-vaccinal response to the Type 3 component was excellent; the first dose produced antibody conversion in 79 per cent of susceptible vaccinees, the second in 91 per cent. For Type 1 the conversion-rate was only 35 per cent after the first dose and 71