The role of the China Experts Advisory Committee on Immunization Program

Zheng, Jingshan; Zhou, Yuqing; Wang, Huaqing; Liang, Xiaofeng

doi:10.1016/j.vaccine.2010.02.039

Cited by 61 publications

(59 citation statements)

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“…Consistent with an earlier study [26], local CDC was the most-cited venue for immunization. Although school-based HPV vaccination programs have been applied in other countries, it might add huge administrative costs in China where the CDC network is an existing system for the delivery and management of vaccines [45]. With wide acceptability, the local CDC can be recommended as a venue for HPV vaccination in the future.…”

Section: Discussionmentioning

confidence: 99%

Acceptability and Correlates of Primary and Secondary Prevention of Cervical Cancer among Medical Students in Southwest China: Implications for Cancer Education

et al. 2014

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ObjectivesTo understand knowledge about, and acceptability of, cervical cancer screening and HPV vaccines among medical students; and to explore potential factors that influence their acceptability in China.MethodsWe conducted a survey among medical students at six universities across southwest China using a 58-item questionnaire regarding knowledge and perceptions of HPV, cervical cancer, and HPV vaccines.ResultsWe surveyed 1878 medical students with a mean age of 20.8 years (standard deviation: 1.3 years). Of these, 48.8% and 80.1% believed cervical cancer can be prevented by HPV vaccines and screening respectively, while 60.2% and 71.2% would like to receive or recommend HPV vaccines and screening. 35.4% thought HPV vaccines ought to be given to adolescents aged 13–18 years. 32% stated that women should start to undergo screening from the age of 25. 49.2% felt that women should receive screening every year. Concern about side effects (38.3% and 39.8%), and inadequate information (42.4% and 35.0%) were the most cited barriers to receiving or recommending HPV vaccination and cervical cancer screening. Females were more likely to accept HPV vaccines (OR, 1.86; 95% CI: 1.47–2.35) or cervical cancer screening (OR, 3.69; 95% CI: 2.88–4.74). Students with a higher level of related knowledge were much more willing to receive or recommend vaccines (P<0.001) or screening (P<0.001). Students who showed negative or uncertain attitudes towards premarital sex were less likely to accept either HPV vaccines (OR, 0.67; 95% CI: 0.47–0.96), or screening (OR, 0.68; 0.47–0.10). Non-clinical students showed lower acceptability of cervical screening compared to students in clinical medicine (OR, 0.74; 95% CI: 0.56–0.96).ConclusionsThe acceptability of HPV vaccines and cervical cancer screening is relatively low among medical students in southwest China. Measures should be taken to improve knowledge about cervical cancer and awareness of HPV vaccines and screening among medical students at university.

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Section: Discussionmentioning

confidence: 99%

Acceptability and Correlates of Primary and Secondary Prevention of Cervical Cancer among Medical Students in Southwest China: Implications for Cancer Education

et al. 2014

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“…11 Nationwide, the EPI in China offers a first dose of MCV at 8 months and the second at 18 to 24 months. 11 Additionally, some administrative divisions offer a third dose of MCV when the child is 5 years of age (since 2007 in Tianjin) because MCV dose 1 has low immunogenicity when administered to infants under 1 year of age. 12 …”

Section: Introductionmentioning

confidence: 99%

The impact of supplementary immunization activities on the epidemiology of measles in Tianjin, China

Wagner

Zhang

Mukherjee

et al. 2016

International Journal of Infectious Diseases

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Summary Objectives China has repeatedly used supplemental immunization activities (SIAs) to work towards measles elimination, but it is unknown if the SIAs are reaching non-locals, migrants from rural to urban areas. This study characterizes temporal trends in measles incidence by local and non-local residency and evaluates the impact of SIAs on measles incidence in Tianjin, China. Methods Daily measles case counts were tabulated separately by residency. These two datasets were combined so that each day had two observations. We conducted Poisson regression using generalized estimating equations with an exchangeable working correlation structure to estimate rate ratios (RRs). Results There were 12,465 measles cases in Tianjin over the 10-year period. The rate of measles was higher in non-locals than locals before the 2008 SIA (RR: 3.60, 95% CI: 3.27, 3.96), but this attenuates to a RR of 1.22 between the 2008 and 2010 SIAs (95% CI: 1.02, 1.45). Following the 2010 SIA, non-locals had a lower rate of measles (RR: 0.78, 95% CI: 0.69, 0.87). Conclusions The disparity in measles incidence between locals and non-locals was reduced following two SIAs. Sustained public health interventions will be needed to maintain low measles incidence among non-locals given ongoing migration of people throughout China.

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“…14 For example, the NITAG in the UK is the Joint Committee on Vaccination and Immunisation (JCVI) (Hall 2010 ). Australia has the Australian Technical Advisory Group on Immunisation (ATAGI) (Nolan 2010 ), China the Experts Advisory Committee on Immunization Program (EACIP) (Zheng et al 2010 ), and South Africa the National Advisory Group on Immunization (NAGI) (Schoub et al 2010 ). More information on NITAGs can be found in Vaccine 28S (2010).…”

Section: National Technical Advisory Groupsmentioning

confidence: 99%

Vaccine Marketing

Angelmar¹,

Morgon²

2013

International Series in Quantitative Marketing

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Long perceived as an unattractive segment of the pharmaceutical industry, most of the leading fi rms have stepped up vaccine investments in recent years. Unlike mainstream pharmaceuticals, vaccines generally treat healthy individuals, most are administered only once or very infrequently during a life time, and they engender positive externalities, because vaccinated individuals reduce the risk of transmission to unvaccinated persons, leading authorities to mandate some vaccinations. Resistance to vaccination may lead to immunization failure and disease resurgence.The public and private market each account for about one-half of the global vaccine market in value. Bringing new vaccines to market requires carefully orchestrated programs targeting the multiple types of customers. For example, in parallel with the clinical development program designed to obtain FDA approval for its HPV vaccine Gardasil, Merck developed health-economic evidence to obtain a positive recommendation for vaccination and public fi nancing. Physician educational programs and unbranded DTC campaigns were started many months prior to launch. Following FDA approval and positive vaccination and public fi nancing recommendations, Merck developed market access programs targeted at states and private insurers, and launched branded physician and DTC campaigns.Successful global diffusion of a vaccine generally requires the development of a tiered pricing policy which takes country differences in per capita income into account.A successful launch often creates new problems for vaccine marketers. They must maintain the motivation to engage in and pay for vaccination despite the quasi-disappearance of the disease. And they must combat anti-vaccination information claiming that the vaccine is the cause of serious side effects.

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The role of the China Experts Advisory Committee on Immunization Program

Cited by 61 publications

References 1 publication

Acceptability and Correlates of Primary and Secondary Prevention of Cervical Cancer among Medical Students in Southwest China: Implications for Cancer Education

Acceptability and Correlates of Primary and Secondary Prevention of Cervical Cancer among Medical Students in Southwest China: Implications for Cancer Education

The impact of supplementary immunization activities on the epidemiology of measles in Tianjin, China

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