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世界卫生组织(WHO):2022年猴痘疫苗和免疫-临时指南(中译版)(20页).pdf

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1、 Vaccines and immunization for monkeypox Interim guidance 16 November 2022 Vaccines and immunization for monkeypox:Interim guidance ii Contents Executive Summary.1 Introduction.2 Changes from earlier version.2 Methods.2 Background.2 General goal and principles for the use of vaccines against monkeyp

2、ox.3 Summary of the evidence.3 Vaccine performance.3 Vaccine safety.4 Recommendations.6 Recommendation 1:Primary preventive(pre-exposure)vaccination(PPV).6 Recommendation 2:Post-exposure preventive vaccination(PEPV).6 Recommendation 3:Choice of vaccine and vaccination for special populations.7 Immun

3、ocompromised persons,including people living with HIV.7 Pregnancy.7 Breastfeeding women.8 Infants and children.8 Vaccination in previously smallpox-vaccinated individuals.9 Recommendation 4:Vaccination in the case of limited supply.9 Prioritization.9 Implementation considerations.10 Dose sparing opt

4、ions.10 Post-exposure prevention vaccination considerations.10 Research needs.12 Table of updates.13 Contributors.14 References.15 Funding.15 Vaccines and immunization for monkeypox:Interim guidance 1 Executive Summary The overarching goal of the global response to monkeypox is to stop the multi-cou

5、ntry outbreak by interrupting human-to-human transmission,to protect vulnerable groups at risk of severe monkeypox disease and to minimize zoonotic transmission of monkeypox virus.Judicious use of vaccines can support this response.This interim guidance provides WHO recommendations on use of vaccine

6、s for monkeypox.This version of the guidance has been endorsed by the WHO Strategic Advisory Group of Experts on Immunization(SAGE)in October 2022.General Monkeypox is an infectious disease caused by the monkeypox virus.This double-stranded DNA virus is a member of the Orthopoxvirus genus in the Pox

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本文是关于使用疫苗和免疫接种来控制猴痘的临时指南,由世界卫生组织(WHO)在2022年11月16日发布。主要内容包括: 1. 目前全球对猴痘的总体应对目标是中断人际传播,保护易受严重猴痘疾病影响的脆弱群体,并最小化人畜共患传播。 2. 目前不需要也不推荐大规模接种猴痘疫苗。 3. 建议对高风险暴露人群进行初级预防性疫苗接种(PPV),包括有多个性伴侣的男同性恋、双性恋或其他男男性行为者(MSM)。 4. 建议对病例接触者进行接触后预防性疫苗接种(PEPV),最好在首次暴露后四天内进行(最长不超过14天,如果无症状)。 5. 所有关于使用天花或猴痘疫苗的决定都应通过共享的临床决策进行。 6. 目前没有关于MVA-BN、LC16和ACAM2000疫苗对预防猴痘的临床效果的同行评审研究。 7. 疫苗的安全性数据表明,MVA-BN和ACAM2000疫苗都可能引起局部和系统性不良事件,但MVA-BN未报告严重不良事件,而ACAM2000可能与罕见但严重的不良事件相关,如心肌炎。
疫苗对预防猴痘有效吗? 哪些人群应该接种猴痘疫苗? 接种猴痘疫苗有哪些潜在风险?
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