Has vaccine of rabies been abused

Has vaccine of rabies been abused
Has vaccine of rabies been abused
Staff reporter Meng QingPu Recently, the question about the fact that vaccine of China's rabies has been abused has initiated the extensive concern. There is the report that quotes expert's view and claims, the annual consumption of vaccine of China's rabies reaches 15 million people one, 99.8% people among them needn't originally inoculate; The number of people inoculating vaccine of rabies because of misunderstanding accounts for 1/3 which inoculates the total number of person at least, they are not infected with the risk at all. Has vaccine of China's rabies been really abused? Will common people also want vaccine inoculation after being be scratched by the dog in the future? Rabies can't cure and strengthen preventing and does not dare to slack off " the relative or friend is bitten to can prevent from by the dog ", ask I should make vaccine of rabies? My answer is, for the sake of assurance, should hit. " When being interviewed by reporter, China's disease is accused of the immunity of centre and planned Luo HuiMing, Deputy Director of centre, and said. Several years ago, Luo HuiMing had accused of the guidance of prevention and control that the centre has been responsible for rabies to work in Guangdong Province disease, often someone comes to consult the thing of making vaccine. "I will usually explain, are bitten by the dog, infect the possibility to have illness coming on, and once have illness coming on, 100% will die. " Luo HuiMing says, " including my myself family present this kind of situation, I consider like this. " Inoculate the doctor will not take risks either. Luo HuiMing says, vaccine of rabies is class II vaccine in our country, some diseases at the basic level accuse of organization's really remedying disease to accuse of the insufficient situation of the fund input by the income of vaccine inoculation. But consider the characteristic of rabies, even there are no interests to drive, no epidemic prevention doctor will vouch for saying to face the person bitten by the dog: "OK, needn't hit vaccine! " Coincidence is, during interviewing this topic, reporters have been participated in to prevent a seminar prevented about immunity of infectious disease that the medical association hosts by China, more than 100 prevention and control experts and scholars of diseases from all parts of the country participate the meeting. The reporter has inquired several dozen insiders at the meeting at random. Their view is unanimous surprisingly: "Certainly hit. " Luo HuiMing tells reporters, in the big family of infectious disease, rabies is more special. It is a kind of animal's source infectious disease, people are infected with rabies and virus, come from dog,etc. and take the poisonous animal. The case fatality rate of rabies is nearly 100%. It thus " Nearly " ,Because while reporting at home and abroad, are really diagnosed specifically by the laboratory and made a definite diagnosis of it the patient of rabies through treating the example of recovering. But numerous " Cure " The report, or is only bitten by the rabies, or uncertain really rabies breaks out. Prevent the difference with most vaccine ahead of time, vaccine of rabies is a kind of remedy. Luo HuiMing emphasizes, the animal that people are not infected with rabies and virus bites, can not almost be infected and had illness coming on. So, theoretically, only on condition that infect by rabies and virus, just really need to inoculate vaccine of rabies. Preventing disease can't be only regarded as the economic account and criticized vaccine and abused a not biased reporter to find, after aforesaid report publish, many people worthwhile to give economic account in network, even someone say, if does not expose at all, prevent, the number of the infected of annual rabies of our country is estimated to be 30,000. Vaccine of rabies is very expensive, in order to protect 30,000 people, it is not worth inoculating 15 million people and a piece of vaccine every year. As to this, China prevents Wang Longde, president of medical association and academician of Chinese Academy of Engineering to refute sternly: "On preventing disease, measurement must not come simply with economic worth. " Luo HuiMing thinks, except can not spend money briefly to weigh people's life value, the characteristic of rabies has determined too that must exist " excessly " to people's prevention activity in the prevailing area Cost. On the technological aspect at present, it is generally unable to confirm whether the animal is infected with rabies and virus to hurt one's feeling through measuring, because even find negatively, can't confirm either 100% of it has not taken the poison; Even if take the poisonous dog, is uncertain that brings the virus into the human body through gripping, licking; Even virus wears on the wound, may wash the virus through washing the wound. Just because much uncertainty exists, so, though vaccine of rabies belongs to preventing afterwards, but very difficult to inoculate to accomplish actually " The one-to-one correspondence " ,Namely inoculate to on the really virus-infected person accurately. Dog only getting immune not quite clear to give somebody it plays vaccine to be whether helpless act it is reported truth of a matter, U.S.A.'s disease accuses of centre's releasing the report in 2008, carries on the assessment to the emergence probability transmitting 8 kinds of situations of rabies, among them the dog bites, the cat licks the morbidity probability that licking, dog licks and licks, contacts 4 kinds of situations in hospital and rabies patient is at most 1/100000, needn't usually handle after exposing. Comment that so as to compare with China's current situation, thinks" people are while meeting the above-mentioned situation ", if is unnecessary, can try hard to inoculate or not inoculate few " . "China and the United States do not have comparativity at all. " China disease accuse of ZiJian Feng, assistant to editor of centre, say in U.S.A., dog the immune rate very much high only, there are only few dogs which carries rabies and virus. "People are bitten or licked licking without the dog of the virus, generally speaking needn't inoculate vaccine. But in China, who can know whether to grip you or lick the dog of you to bring the virus or not? " How high is the Chinese dog only immune rate? The reporter inquires a plurality of experts, say " there are not accurate data, but certainly very low " . Formal literature that reporter find, some say 10%, some report 30%, some place report above the 90% too, but the sample is too small, there is no convincingness. Uncountable, the inoculating rate low reason is mainly as follows, that there is bottom of a piece of immunity rate of dog of our country of expert analysis It is little to click immunity, the immune difficulty is large, such as dog being only huge in quantity; The dog is only immune and optional; The characteristic of only flowability loud aggressiveness better the dog works to bring very great difficulty to the immunity; Relevant personnel have faint consciousness. The expert tells reporters, at present, in about 150 countries or areas with report of the whole world, half has already basically eliminated rabies to have an appointment, in that the rabies case has counted the report to keep as zero for many years in about 50 countries or areas. The experience proves, so long as control rabies in the dog group, rabies in the crowd can be basically controlled. HuiMing Luo say in China, dog immune rate low only, dog rabies prevented and controlled and done one's best, lead to the fact directly people use the vaccine quantity to be huge. "In this sense, our country makes the method that so many people really have no idea with vaccine of rabies every year. " Only getting immune dog difficult to change, also should type vaccine bite dog, " several years ago in low a short time, some high to send province rabies, set up the intersection of government and rabies of aspect prevent and cure the leading group or coordination organization ever, but not gradually later. " Disease in Hunan Province accuses of the Deputy Director in the centre high to say at the Beginning of Winter. Rabies prevent and cure involve agriculture ' Veterinarian) Hygiene, public security men, medicine supervise, a plurality of, tube of city and inspection and quarantine,etc. of imports and exports The department, without organization and coordination of the aspect of government, depend on a certain department only, it is very difficult to make the substantive prevention and cure result. The rabies epidemic situation of our country has gone through several peaks - -Low hair - -High hair course, " often epidemic situation is serious, the different fields are paid attention to, then the work is relaxed, the epidemic situation rebounds again. " 2007, agricultural sector release " rabies prevent and cure technical specification ", require, implement the mandatory immunity to all dogs, once a year. The animal immunized releases the unified immunity of animal to prove, wears the immune mark. Meanwhile, carry on once - 2 times monitoring every year, the dog only inspects the proportion by random samples and no less than 0.1%. In recent years, departments such as hygiene, agriculture,etc. set up rabies to prevent and cure the coordinating mechanism too. Is it gone to hit that who however, another reality is, " to let? Who goes to raise those persons giving an preventive injection for dogs? The present current situation is, in a lot of places, it is a problem that epidemic prevention worker hitting vaccine for somebody survives, give dog people to play vaccine to have have you had a meal? " Some expert said. So, these actions have not changed such a fact all the time: A large number of dogs do not only have vaccine inoculation. Release 2009 " China rabies prevent and cure the current situation " according to Ministry of Public Health, Ministry of Public Security four department, of our country rabies epidemic situation appear lasting growth trend after 2000, annual the whole country report death count in 2000 the above-mentioned people at present. Many diseases accuse of expert's saying, it already needs to solve the aspect of government and setting up the problem that coordinating mechanism,etc. can be seen to dispel rabies when being interviewed by reporter, what an this kind of invisible problem of coordinating economic growth and healthy relation is needed to solve even more. As to the public, seeing that dog's only high immune rate is difficult to realize in short term, scratched by the dog, deal with the wound in time, vaccine inoculation is still a requisite measure. In yes the area of the rabies epidemic situation, also need to inoculate and resisting serum of rabies / rabies patient immunoglobulin (Ig) if necessary.


|