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世卫组织二度回应“问题疫苗”:不会产生额外副作用

2016-03-25 记者李丹丹 新京报

据新京报报道,继中国三个部委在 24 日下午就“问题疫苗”召开记者会后,世界卫生组织在当天晚间第二次回应该事件。世卫组织重申,接种过期或不当储存的疫苗应不会产生任何额外的副作用和毒性反应风险。世界卫生组织对中国疫苗事件中的疑问进行了一一回应。1.中国的一类和二类疫苗有何区别?一类疫苗是政府扩大免疫规划使用的疫苗,使儿童能预防12种传染病。一类疫苗免费向中国儿童提供,也是儿童必须接种的疫苗。二类疫苗


据新京报报道,继中国三个部委在 24 日下午就“问题疫苗”召开记者会后,世界卫生组织在当天晚间第二次回应该事件。世卫组织重申,接种过期或不当储存的疫苗应不会产生任何额外的副作用和毒性反应风险。

世界卫生组织对中国疫苗事件中的疑问进行了一一回应。

1.中国的一类和二类疫苗有何区别?

一类疫苗是政府扩大免疫规划使用的疫苗,使儿童能预防12种传染病。一类疫苗免费向中国儿童提供,也是儿童必须接种的疫苗。二类疫苗是父母自主选择为儿童补充接种的疫苗,例如可预防B型流感嗜血杆菌所致疾病、侵袭性肺炎链球菌病和轮状病毒胃肠炎。接种二类疫苗需自费。

2.疫苗质量问题如何保证?

世卫组织对中国疫苗(包括一类疫苗和二类疫苗)的生产和许可有信心。中国管理疫苗的国家监管部门(国家食品药品监督管理总局和国家卫生和计划生育委员会)已于2010年和2014年通过世卫组织的评估,符合所有国际监管标准,包括能确保使用现行的药品生产质量管理规范(GMP)。此次疫苗事件主要与疫苗的储存和分发有关。一类疫苗由政府的疾控中心系统从生产商分发到接种点,其可控温度的冷链系统已通过世卫组织和联合国儿童基金会评估并确认为高质量的冷链系统。但二类疫苗不通过该系统配送。

3.“无毒性反应”是否代表无害?

“无毒性反应”指儿童接种过期或储存不当的疫苗后生病的可能性极低。但是,如果疫苗由于过期或不当处理失去效力,儿童将缺乏疫苗针对疾病的预防能力,可能在未来感染疾病,对其造成伤害。这种情况跟未接种疫苗的后果类似。

4.若孩子接种了无效疫苗,要补种吗?

一般情况下,接种过期或不当处理的疫苗后,人体对疫苗针对的疾病可能不产生免疫能力,因此应重新接种疫苗。重新接种疫苗是安全的,可立即接种灭活疫苗,也可在28天后接种减毒活疫苗。但由于不同疫苗可预防疾病在不同年龄阶段所产生的风险不同,所以不是所有疫苗都有必要重新接种。诸如麻疹、风疹、甲肝、乙肝和水痘等疾病,可通过血液检测了解儿童的免疫情况和确认是否需要重新接种疫苗。若考虑重新接种疫苗,应咨询预防接种点的专业人员。

5.安全风险非常低,到底有多低?

据我们所知,未在规定温度范围内储存的疫苗或过期疫苗不是被污染的疫苗或有毒性的疫苗。然而,问题在于不确定疫苗是否仍有效力。所有疫苗的接种均有一定的产生副作用的风险,例如对某疫苗成分出现过敏反应。但接种过期或不当储存的疫苗应不会产生任何额外的副作用和毒性反应风险。

6.若孩子接种了无效疫苗,有何后果?

儿童在接种不当储存疫苗后,由于接种疫苗而生病的可能性极低。但是,若疫苗由于过期或不当处理失去效力,该儿童将缺乏疫苗针对疾病的预防能力,可能在未来感染疾病,对其造成伤害。这种情况跟未接种疫苗的后果类似。

7.应该给孩子注射疫苗吗?

是。中国儿童与全球其他儿童一样,需要疫苗的保护,避免感染疫苗可预防疾病。中国免疫规划可保护儿童免于患12种传染性疾病。除极少数儿童因医学原因无法接种疫苗之外,所有儿童都应根据常规免疫程序接种疫苗。接种疫苗是保护儿童避免感染疫苗可预防疾病的最安全途径。

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    2016-10-06 1e10c84am36(暂无匿称)

    文章真心很好,感谢作者

    0

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    2016-04-27 1deb5047m95(暂无匿称)

    是真的不会有问题

    0

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    2016-03-28 wei834766788

    疫苗

    0

  5. [GetPortalCommentsPageByObjectIdResponse(id=141053, encodeId=d81a14105335, content=文章真心很好,感谢作者, beContent=null, objectType=article, channel=null, level=null, likeNumber=91, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzdAIB7UwTkHt6fQkBP8ictliaXtc5gCUmYdAW1sAETC2nhO3q6YjRHkUibyOCtP8ibmXNObTyd63A076/0, createdBy=d4111948983, createdName=1e10c84am36(暂无匿称), createdTime=Thu Oct 06 14:06:42 CST 2016, time=2016-10-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1824209, encodeId=db4c1824209a7, content=<a href='/topic/show?id=56a932e7800' target=_blank style='color:#2F92EE;'>#副作用#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=69, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=32778, encryptionId=56a932e7800, topicName=副作用)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=8f0715, createdName=showtest, createdTime=Thu Sep 29 13:03:00 CST 2016, time=2016-09-29, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=82968, encodeId=4f698296837, content=是真的不会有问题, beContent=null, objectType=article, channel=null, level=null, likeNumber=149, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160421/IMG5718DA7F3A12A6443.jpg, createdBy=3d9f1716031, createdName=1deb5047m95(暂无匿称), createdTime=Wed Apr 27 00:41:00 CST 2016, time=2016-04-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=74260, encodeId=6458e426020, content=疫苗, beContent=null, objectType=article, channel=null, level=null, likeNumber=131, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=078f1661649, createdName=wei834766788, createdTime=Mon Mar 28 20:10:00 CST 2016, time=2016-03-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1300793, encodeId=182b1300e936b, content=<a href='/topic/show?id=d6f720e61ab' target=_blank style='color:#2F92EE;'>#世卫组织#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=50, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=20761, encryptionId=d6f720e61ab, topicName=世卫组织)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=8217292, createdName=yinhl1978, createdTime=Sun Mar 27 01:03:00 CST 2016, time=2016-03-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=73874, encodeId=fe23e387478, content=也可能是安抚民心, beContent=null, objectType=article, channel=null, level=null, likeNumber=221, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=f28c1704850, createdName=白兔糖, createdTime=Sat Mar 26 18:25:00 CST 2016, time=2016-03-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=73736, encodeId=974ae3736a1, content=监管那,是不是该追究主管部门的刑事责任??, beContent=null, objectType=article, channel=null, level=null, likeNumber=133, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=823a1692210, createdName=johnstone, createdTime=Fri Mar 25 11:33:00 CST 2016, time=2016-03-25, status=1, ipAttribution=)]
  6. [GetPortalCommentsPageByObjectIdResponse(id=141053, encodeId=d81a14105335, content=文章真心很好,感谢作者, beContent=null, objectType=article, channel=null, level=null, likeNumber=91, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzdAIB7UwTkHt6fQkBP8ictliaXtc5gCUmYdAW1sAETC2nhO3q6YjRHkUibyOCtP8ibmXNObTyd63A076/0, createdBy=d4111948983, createdName=1e10c84am36(暂无匿称), createdTime=Thu Oct 06 14:06:42 CST 2016, time=2016-10-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1824209, encodeId=db4c1824209a7, content=<a href='/topic/show?id=56a932e7800' target=_blank style='color:#2F92EE;'>#副作用#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=69, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=32778, encryptionId=56a932e7800, topicName=副作用)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=8f0715, createdName=showtest, createdTime=Thu Sep 29 13:03:00 CST 2016, time=2016-09-29, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=82968, encodeId=4f698296837, content=是真的不会有问题, beContent=null, objectType=article, channel=null, level=null, likeNumber=149, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160421/IMG5718DA7F3A12A6443.jpg, createdBy=3d9f1716031, createdName=1deb5047m95(暂无匿称), createdTime=Wed Apr 27 00:41:00 CST 2016, time=2016-04-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=74260, encodeId=6458e426020, content=疫苗, beContent=null, objectType=article, channel=null, level=null, likeNumber=131, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=078f1661649, createdName=wei834766788, createdTime=Mon Mar 28 20:10:00 CST 2016, time=2016-03-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1300793, encodeId=182b1300e936b, content=<a href='/topic/show?id=d6f720e61ab' target=_blank style='color:#2F92EE;'>#世卫组织#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=50, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=20761, encryptionId=d6f720e61ab, topicName=世卫组织)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=8217292, createdName=yinhl1978, createdTime=Sun Mar 27 01:03:00 CST 2016, time=2016-03-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=73874, encodeId=fe23e387478, content=也可能是安抚民心, beContent=null, objectType=article, channel=null, level=null, likeNumber=221, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=f28c1704850, createdName=白兔糖, createdTime=Sat Mar 26 18:25:00 CST 2016, time=2016-03-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=73736, encodeId=974ae3736a1, content=监管那,是不是该追究主管部门的刑事责任??, beContent=null, objectType=article, channel=null, level=null, likeNumber=133, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=823a1692210, createdName=johnstone, createdTime=Fri Mar 25 11:33:00 CST 2016, time=2016-03-25, status=1, ipAttribution=)]
    2016-03-26 白兔糖

    也可能是安抚民心

    0

  7. [GetPortalCommentsPageByObjectIdResponse(id=141053, encodeId=d81a14105335, content=文章真心很好,感谢作者, beContent=null, objectType=article, channel=null, level=null, likeNumber=91, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzdAIB7UwTkHt6fQkBP8ictliaXtc5gCUmYdAW1sAETC2nhO3q6YjRHkUibyOCtP8ibmXNObTyd63A076/0, createdBy=d4111948983, createdName=1e10c84am36(暂无匿称), createdTime=Thu Oct 06 14:06:42 CST 2016, time=2016-10-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1824209, encodeId=db4c1824209a7, content=<a href='/topic/show?id=56a932e7800' target=_blank style='color:#2F92EE;'>#副作用#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=69, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=32778, encryptionId=56a932e7800, topicName=副作用)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=8f0715, createdName=showtest, createdTime=Thu Sep 29 13:03:00 CST 2016, time=2016-09-29, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=82968, encodeId=4f698296837, content=是真的不会有问题, beContent=null, objectType=article, channel=null, level=null, likeNumber=149, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160421/IMG5718DA7F3A12A6443.jpg, createdBy=3d9f1716031, createdName=1deb5047m95(暂无匿称), createdTime=Wed Apr 27 00:41:00 CST 2016, time=2016-04-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=74260, encodeId=6458e426020, content=疫苗, beContent=null, objectType=article, channel=null, level=null, likeNumber=131, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=078f1661649, createdName=wei834766788, createdTime=Mon Mar 28 20:10:00 CST 2016, time=2016-03-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1300793, encodeId=182b1300e936b, content=<a href='/topic/show?id=d6f720e61ab' target=_blank style='color:#2F92EE;'>#世卫组织#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=50, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=20761, encryptionId=d6f720e61ab, topicName=世卫组织)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=8217292, createdName=yinhl1978, createdTime=Sun Mar 27 01:03:00 CST 2016, time=2016-03-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=73874, encodeId=fe23e387478, content=也可能是安抚民心, beContent=null, objectType=article, channel=null, level=null, likeNumber=221, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=f28c1704850, createdName=白兔糖, createdTime=Sat Mar 26 18:25:00 CST 2016, time=2016-03-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=73736, encodeId=974ae3736a1, content=监管那,是不是该追究主管部门的刑事责任??, beContent=null, objectType=article, channel=null, level=null, likeNumber=133, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=823a1692210, createdName=johnstone, createdTime=Fri Mar 25 11:33:00 CST 2016, time=2016-03-25, status=1, ipAttribution=)]
    2016-03-25 johnstone

    监管那,是不是该追究主管部门的刑事责任??

    0

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