2013年新南威尔士疫苗可预防疾病年度报告

ⲥ

⌟⭿㢫ৃ乘䰆⮒⮙ᇍѢথ⦄䳔㽕ゟे䞛প

݀݅ि⫳᥻ࠊ᥾ᮑⱘџӊ䴲ᐌ䞡㽕ˈ㗠Ϩ

ৃҹ᳈དഄЎᬓㄪࠊᅮᦤկⳌֵ݇ᙃˈ᳝

䩜ᇍᗻⱘᓔሩ䅵ߦܡ⭿Ꮉ԰DŽ

ᮄफ࿕ᇨ຿ᰃ▇໻߽Ѯ᳔໻ⱘᎲˈߚЎ

15

Ͼഄ

ᮍि⫳ऎ˄

LHDs

˅^[1]DŽ↣Ͼഄᮍि⫳ऎ䛑᳝ϔϾ݀

݅ि⫳䚼䮼ˈ䋳䋷䱣䆓ࣙᣀ⭿㢫ৃ乘䰆⮒⮙೼ݙⱘ᠔

᳝عᒋⳌ݇䯂乬DŽḍ᥂Ꮂ݀݅ि⫳ゟ⊩ⱘ㽕∖ˈए⭫

ҢϮ㗙ǃए䰶䋳䋷Ҏ੠ᅲ偠ᅸᇍ㾘ᅮⱘ⭿㢫ৃ乘䰆

⮒⮙䖯㸠᡹ਞ^[2]DŽ᥹ࠄ᡹ਞৢˈⳌ݇݀݅ि⫳䚼䮼ⱘ ⲥ⌟ᅬਬ䳔㽕ḍ᥂೑ᆊᷛޚ߸ᮁ᡹ਞᰃ৺ヺড়⭿㢫ৃ

乘䰆⮒⮙ⱘ⮙՟ᅮН^[3]DŽབᵰヺড়ˈ߭ᇚ↣Ͼ᡹ਞ⮙

՟ⱘֵᙃ䕧ܹᮄफ࿕ᇨ຿⊩ᅮ᡹ਞ⮒⮙ֵᙃㅵ⧚㋏㒳

˄

NCIMS

˅DŽ

ᴀ᡹ਞᦣ䗄њ2013ᑈ▇໻߽Ѯᮄफ࿕ᇨ຿Ꮂⱘ 咏⮍ǃⱒ᮹ઇǃ亢⮍ǃbൟ⌕ᛳர㸔ᴚ㦠։㺁ᗻᛳᶧǃ

։㺁ᗻ㛥㝰♢⧗㦠ᛳᶧǃ㝂㝎♢ǃ⸈Ӹ亢ǃ։㺁ᗻ㚎

♢⧗㦠ᛳᶧ੠ϔѯᮙ㸠Ⳍ݇⮒⮙ⱘ⊩ᅮ᡹ਞ⮒⮙ⱘ᭄

᥂DŽ

ᮍ⊩

Ң

NCIMSЁ 㦋 প 2013ᑈ থ ⮙ ⱘ 䚼 ߚ ⭿ 㢫 ৃ 乘 䰆 ⮒

⮙ⱘ⮙՟ֵᙃˈՓ⫼2011ᑈ▇໻߽ѮҎষ㒳䅵ሔԄ䅵 ⱘҎষ᭄䅵ㅫ⥛ˈҹ1/100 000Ўऩԡ㸼⼎ܼҎষ៪ϡ ৠᑈ啘㒘ⱘᑈথ⮙⥛ˈᑊᣝ✻Ҏষሙԣⱘഄ⧚ऎඳ䅵 ㅫ⮒⮙ⱘ᡹ਞ⥛DŽॅ䰽಴㋴੠⭿㢫᥹⾡ֵᙃ䗮䖛䱣䆓

ܼ⾥ए⫳៪▇໻߽Ѯܓスܡ⭿ⱏ䆄㋏㒳˄ACIR˅ҹঞ

2013 ᑈᮄफ࿕ᇨ຿⭿㢫ৃ乘䰆⮒⮙ᑈᑺ᡹ਞ

Alexander Rosewell

^a

ˈPaula Spokes

^a

੠Robin Gilmour

^a

䗮䆃԰㗙˖Robin Gilmour (⬉ᄤ䚂ㆅ: rgilm@doh.health.nsw.gov.au)DŽ

݊Ҫ䌘⑤ᬊ䲚˄བ⮙՟ⱘ᡹ਞ៪ि⫳ֱعᦤկ㗙ⱘ᡹

ਞ˅DŽ

㒧ᵰ

䚼ߚ⭿㢫ৃ乘䰆⮒⮙

b

ൟ⌕ᛳர㸔ᴚ㦠։㺁ᗻᛳᶧ

2013ᑈ᡹ਞњ9՟bൟ⌕ᛳர㸔ᴚ㦠ᛳᶧ⮙՟ˈ݊Ё 5՟Ў5ቕҹϟܓスˈ6՟ЎཇᗻDŽ᳝݅3ৡϡ⒵ϔቕⱘ

၈ܓ⮙՟˄݊Ё1ৡЎ1᳜啘ˈ2ৡЎ9᳜啘˅ˈഛᣝ✻

ϡৠᑈ啘↉ⱘ᥹⾡㽕∖ܼ⿟᥹⾡њ⭿㢫˄ߚ߿Ў1ࠖ

⃵੠3ࠖ⃵˅DŽ೼2ৡı12᳜啘ⱘ⮙՟Ёˈ᳝1ৡ19᳜

啘ⱘ⮙՟ᣝ✻䆹ᑈ啘↉ⱘ᥹⾡㽕∖া᥹⾡њ䚼ߚ⭿㢫

˄

1ࠖ⃵˅ˈ঺ϔৡ3ቕ⮙՟ᣝ✻Ⳍᑨ᥹⾡㽕∖ܼ⿟

᥹⾡њ⭿㢫˄4ࠖ⃵˅DŽথ⦄ϔৡ⮙՟ᰃೳ㨫ሙ⇥ˈ

᳝5ৡ⮙՟ሙԣ೼ᮄफ࿕ᇨ຿ഄऎDŽ 咏⮍

2013

ᑈ ˈ ᮄ फ ࿕ ᇨ ຿ ᡹ ਞ њ

34

՟ 咏 ⮍ ⮙ ՟ ˈ 㗠

2012

ᑈ᡹ਞњ

172

՟˄㸼

1

˅DŽ

0–4

ቕᑈ啘㒘ܓス᡹ਞ থ⮙⥛᳔催˄

10

՟ˈ

2.1/100 000

˅ˈ݊Ё

4

՟⮙՟⬅

Ѣ ᇣ Ѣ ᥹ ⾡ ᑈ 啘 㗠 ᳾ ᥹ ⾡ DŽ থ ⮙ ⥛ ㄀ Ѡ 催 ⱘ ᑈ 啘 㒘Ў

5–9

ቕ㒘˄

6

՟ˈ

1.3/100 000

˅˄㸼

2

˅DŽ⮙՟Ё

᳝

17

՟ ˄

50%

˅ Ў ⬋ ᗻ DŽ

34

՟ 咏 ⮍ ⮙ ՟ Ё ˈ

22

ৡ ߎ⫳Ѣ▇໻߽Ѯˈ

9

ৡߎ⫳Ѣ▇໻߽ѮП໪ⱘ݊Ҫ೑

ᆊ˄Џ㽕ᰃѮ໾ഄऎ੠⃻⌆˅ˈ঺໪

3

՟⮙՟ֵᙃ᳾㦋 ᕫDŽ

㛥㝰♢⧗㦠⮒⮙˄։㺁ᗻ˅

2013

ᑈᮄफ࿕ᇨ຿᡹ਞњ

46

՟։㺁ᗻ㛥㝰♢⧗㦠⮙⮙

՟ˈ㗠

2012

ᑈ᡹ਞњ

65

՟˄㸼

1

˅DŽ

2013

ᑈ᡹ਞⱘ

⮙՟Ё᳝՟⅏ѵˈ݊Ё՟Ў

50–54

ቕᑈ啘㒘˄

C

㸔⏙

㕸˅ˈ঺ϔ՟Ўı

85

ቕᑈ啘㒘˄

Y

㸔⏙㕸˅DŽ

2012

ᑈ ⱘ

2

՟⅏ѵ⮙՟䛑ᰃ⬅

B

㸔⏙㕸ᇐ㟈DŽ

5ቕ ҹ ϟ ܓ ス ։ 㺁 ᗻ 㛥 㝰 ♢ ⧗ 㦠 ⮙ ᡹ ਞ থ ⮙ ⥛

᳔催˄16՟ˈ3.3/100 000˅ˈ݊⃵Ў15–19ቕ㒘˄8

՟ˈ1.7/100 000˅˄㸼2˅DŽ5ቕҹϟܓスЁˈ12᳜

啘ҹϟ၈ܓ᡹ਞথ⮙⥛᳔催˄6՟ˈ7.8/100 000˅ˈ

݊⃵Ў2ቕ㒘ܓス˄4՟ˈ5.6/100 000˅DŽ

2013

ᑈ ˈ

24

՟ ˄

52%

˅ ։ 㺁 ᗻ 㛥 㝰 ♢ ⧗ 㦠 ⮙

⮙՟Ў⬋ᗻDŽ᳝ৡೳ㨫ሙ⇥ᛳᶧњ։㺁ᗻ㛥㝰♢⧗

㦠ˈഛ⬅

B

㸔⏙㕸ᛳᶧᇐ㟈DŽᮄफ࿕ᇨ຿࣫䚼

LHD

᡹ਞ থ⮙⥛᳔催˄

4

՟ˈ

1.4/100 000

˅˄㸼

3

˅DŽ

2013

ᑈᮄफ࿕ᇨ຿᡹ਞⱘ

46

ৡ⮙՟Ёˈ

43

ৡ

˄

93%

˅ ⮙ ՟ ᛳ ᶧ ⱘ 㸔 ⏙ 㕸 ᕫ ࠄ ⹂ 䅸 ˈ ݊ Ё

26

ৡ

˄

60%

˅⮙՟ᰃ

B

㸔⏙㕸˄᮴⭿㢫䩜ᇍ䆹㸔⏙㕸˅ˈ

᳝

8

Ͼ ഄ ᮍ ि ⫳ ऎ ᡹ ਞ њ 咏 ⮍ ⮙ ՟ ˈ ᮄ फ ࿕ ᇨ຿࣫䚼

LHD

᡹ਞথ⮙⥛᳔催˄

6

՟ˈ

2.1/100 000

˅

˄㸼

3

˅DŽ

34ৡ⮙՟Ёˈ18ৡ˄53%˅᳾᥹⾡⭿㢫ˈ11ৡ

˄32%˅᥹⾡њ⭿㢫ˈ5ৡ˄15%˅ܡ⭿ֵᙃ㔎༅DŽ᳝

4ৡ⮙՟˄ഛЎ5ቕҹϟ˅ⱘ⭿㢫᥹⾡⢊ᗕ䗮䖛▇໻߽

Ѯܓスܡ⭿ⱏ䆄㋏㒳˄ACIR˅⹂䅸ˈ7ৡ⮙՟ⱘ⭿㢫᥹

⾡⢊ᗕ䗮䖛ᴀҎ៪݊⠊↡ಲᖚ⹂䅸DŽ㒣ACIR⹂䅸᥹⾡

⭿㢫ⱘৡ⮙՟Ёˈা᳝՟⮛⢊䕏ᖂⱘ2ቕܓス᳝᥹⾡

2ࠖ⃵⭿㢫ⱘ䆕᥂DŽ

2013ᑈ᡹ਞⱘ34ৡ⮙՟Ёˈ14ৡ˄ 41%˅ᰃ

೼೑໪ᛳᶧˈ

19

ৡ˄

56%

˅೼ᮄफ࿕ᇨ຿ᛳᶧˈ

1

ৡ

˄3%˅ᰃ೼▇໻߽Ѯ݊ҪഄऎᛳᶧDŽ

4ৡ⮙՟ᛳᶧ B3෎಴ൟ咏⮍⮙↦˄೼㧆ᕟᆒǃሐ⊞ᇨ੠Ꮘ෎ᮃഺᛳ

ᶧ˅ˈ

6

ৡ⮙՟ᛳᶧ

D8

෎಴ൟ咏⮍⮙↦˄೼⃻⌆ǃ⋄

೑ǃॄᑺǃ㓈໮߽Ѯ>▇໻߽Ѯ@ᛳᶧ˅ˈ6ৡ⮙՟ᛳ ᶧ

D9

෎಴ൟ咏⮍⮙↦˄೼ॄᑺሐ㽓Ѯᛳᶧ˅DŽ᳝݇㘨 ⱘӴ᪁᳔䭓䖛⿟˄Ң佪՟⮙՟থ⮙ࠄ᳿՟⮙՟থ⮙˅

ᰃ29໽ˈথ⫳೼ϔ䍋᳔໻ⱘ㘮䲚ᗻџӊЁ˄n=6՟˅

˄೒

1

˅DŽ

೒

1. 2013

ᑈ▇໻߽Ѯᮄफ࿕ᇨ຿ᣝ✻ഄऎǃ⌕㸠਼ǃ䕧ܹ⢊ᗕǃᛳᶧഄ੠෎಴ൟߚ㉏ⱘ咏⮍Ӵ᪁݇㋏೒

໻फ䚼ഄऎ

ᙝሐ㽓䚼

ᙝሐ㽓फ䚼

ᙝሐϰफ䚼

ᙝሐ࣫䚼

࣫⍋ኌ

ձᢝ⪺ᢝ ሙԣⱘഄ

ᮍि⫳ऎ

䕧ܹ⮙՟˄⍋໪䎼Ꮂ˅ ᴀഄᛳᶧ⮙՟ Ϣ䕧ܹ⮙՟᳝݇㘨

⌕㸠਼

7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52

Ꮘ෎ᮃഺˈ咏⮍⮙↦B3ൟ

ॄᑺˈ咏⮍⮙↦D8ൟ

⋄೑ˈ咏⮍⮙↦D8ൟ

⋄೑ˈ咏⮍⮙↦D8ൟ

⃻⌆ˈ咏⮍⮙↦D8ൟ

ॄᑺሐ㽓Ѯ

咏⮍⮙↦D9˄3/4˅ൟ

咏⮍⮙↦D9ൟ

ॄᑺሐ㽓Ѯˈ咏⮍⮙↦D9ൟ ᮄࡴവ

㧆ᕟᆒˈ咏⮍⮙↦B3ൟ

ሐ⊞ᇨˈ咏⮍⮙↦B3ൟ

㧆ᕟᆒˈ咏⮍⮙↦B3ൟ 㓈໮߽Ѯ˄▇໻߽Ѯ˅ˈ咏⮍⮙↦D8ൟ

ᛣ໻߽

ॄᑺሐ㽓Ѯ

ॄᑺሐ㽓Ѯˈ咏⮍⮙↦D9ൟ ᴀഄ㘮䲚ᗻˈ䗮䖛෎಴ൟ੠⌟ᑣ݇㘨

ⱒ᮹ઇ

2013ᑈˈᮄफ࿕ᇨ຿᡹ਞњ2337՟ⱒ᮹ઇ⮙՟ˈ㗠 2012

ᑈ᡹ਞњ5838՟˄㸼

1˅DŽ5-9ቕܓスⱒ᮹ઇ

᡹ਞথ⮙⥛᳔催˄515՟ˈ111.1/100 000˅ˈ݊⃵Ў

0–4ቕ㒘˄444՟ˈ92.4/100 000˅˄㸼2˅ˈ↨2012

ᑈ᳝᠔ϟ䰡DŽ5ቕҹϟܓスЁˈ3ቕܓス᡹ਞথ⮙⥛᳔

催˄115՟ˈ157.1/100 000˅DŽ2012ᑈ㟇2013ᑈˈ

12᳜啘ҹϟ၈ܓ᡹ਞথ⮙⥛᳝᠔ϟ䰡DŽ2013ᑈ᮴၈ܓ

ⱒ᮹ઇ⅏ѵ⮙՟DŽ

2013

ᑈˈ

1324

ৡ˄

57%

˅⮙՟ᰃཇᗻDŽ

444

ৡ

0–4

ቕⱘ⮙՟Ёˈ

37

՟˄

8%

˅ᰃೳ㨫ሙ⇥DŽҢഄ⧚

8ৡ˄19%˅⮙՟ᰃY㸔⏙㕸ˈ6ৡ˄14%˅ᰃW135

㸔⏙㕸ˈ3ৡ˄7%˅ᰃC㸔⏙㕸DŽ᳝3ৡ᳾ߚൟ⮙՟ˈ

݊Ё՟ϡ㛑䖯㸠ߚൟ˄೒2˅DŽ೼3՟⬅C㸔⏙㕸ᇐ 㟈ⱘ⮙՟Ёˈ2՟ϡヺড়೑ᆊܡ⭿㾘ߦⱘ᥹⾡㽕∖ˈ

঺໪1՟೼2004ᑈ᥹⾡њ䩜ᇍ&㕸㛥㝰♢⧗㦠⮙ⱘ⭿

㢫DŽ2012ᑈ㟇2013ᑈᘏԧ᡹ਞ⮙՟᭄ⱘϟ䰡ϢB㸔⏙

㕸⮙՟Ң43՟䰡㟇26՟Ⳍ݇˄೒2˅DŽ 㝂㝎♢

2013

ᑈ ˈ ᮄ फ ࿕ ᇨ ຿ ᡹ ਞ њ

91

՟ 㝂 㝎 ♢ ⮙ ՟ ˈ 㗠

2 0 1 2

ᑈ ᡹ ਞ њ

1 0 5

՟ ˄㸼

1

˅ DŽ

1 5 – 1 9

ቕ 㒘 Ҏ㕸ⱘ㝂㝎♢᡹ਞথ⮙⥛᳔催˄

15

՟

3.2/100 000

˅

㸼1. 1991㟇2013ᑈ▇໻߽Ѯᮄफ࿕ᇨ຿⭿㢫ৃ乘䰆⮒⮙᡹ਞ⮙՟᭄੠থ⮙⥛˄/100 000Ҏষ˅

ᑈӑ

Eൟ⌕ᛳர㸔ᴚ

㦠ᛳᶧ 咏⮍ 㛥㝰♢⧗㦠⮙

˄։㺁ᗻ˅ 㝂㝎♢ ⱒ᮹ઇ 㚎♢⧗㦠⮙

˄։㺁ᗻ˅ 亢⮍ ⸈Ӹ亢

n ⥛ n ⥛ n ⥛ n ⥛ n ⥛ n ⥛ n ⥛ n ⥛

1991 208 3.5 492 8.3 127 2.2 8 0.1 47 0.8 NN NN 57 1.0 5 0.1

1992 216 3.6 802 13.5 121 2.0 23 0.4 218 3.7 NN NN 321 5.4 2 0.0

1993 123 2.0 2339 39.0 153 2.5 13 0.2 1531 25.5 NN NN 1181 19.7 5 0.1

1994 61 1.0 1479 24.4 142 2.3 11 0.2 1403 23.5 NN NN 227 3.7 4 0.1

1995 29 0.5 594 9.7 113 1.8 14 0.2 1367 22.3 NN NN 2315 37.8 0 0.0

1996 13 0.2 191 3.1 161 2.6 27 0.4 1152 18.6 NN NN 628 10.1 1 0.0

1997 17 0.3 271 4.3 218 3.5 29 0.5 4233 67.4 NN NN 153 2.4 3 0.0

1998 11 0.2 119 1.9 187 2.9 38 0.6 2300 36.3 NN NN 78 1.2 3 0.0

1999 13 0.2 34 0.5 217 3.4 32 0.5 1413 22.0 NN NN 45 0.7 1 0.0

2000 8 0.1 31 0.5 251 3.9 91 1.4 3693 56.9 NN NN 190 2.9 3 0.0

2001 7 0.1 30 0.5 231 3.5 28 0.4 4437 67.9 * * 58 0.9 0 0.0

2002 10 0.2 7 0.1 215 3.3 29 0.4 2013 30.6 880 13.4 35 0.5 0 0.0

2003 6 0.1 18 0.3 198 3.0 36 0.5 2767 41.8 796 12.0 23 0.3 1 0.0

2004 4 0.1 12 0.2 149 2.2 64 1.0 3560 53.5 898 13.5 17 0.3 0 0.0

2005 7 0.1 5 0.1 139 2.1 109 1.6 5788 86.5 635 9.5 9 0.1 1 0.0

2006 11 0.2 60 0.9 106 1.6 154 2.3 4895 72.6 560 8.3 37 0.5 2 0.0

2007 7 0.1 3 0.0 111 1.6 317 4.6 2085 30.5 520 7.6 8 0.1 2 0.0

2008 8 0.1 39 0.6 81 1.2 76 1.1 8735 125.8 545 7.8 17 0.2 1 0.0

2009 6 0.1 19 0.3 95 1.3 39 0.6 12 514 177.4 474 6.7 7 0.1 1 0.0

2010 6 0.1 26 0.4 75 1.0 40 0.6 9307 130.3 491 6.9 13 0.2 1 0.0

2011 4 0.1 90 1.2 72 1.0 68 0.9 13 160 182.3 526 7.3 17 0.2 1 0.0

2012 2 0.0 172 2.4 65 0.9 105 1.4 5838 80.0 579 7.9 10 0.1 1 0.0

2013 9 0.1 34 0.5 46 0.7 91 1.2 2337 31.6 471 6.4 12 0.2 2 0.0

NNˈ䴲⊩ᅮ᡹ਞⱘ⮒⮙DŽ

* ϡᅠᭈ᭄᥂DŽ಴Ў᡹ਞ㋏㒳߮ᓔྟ䖤㸠ˈ಴ℸᇍ1991–1992ᑈ᭄᥂ⱘ㾷䞞ᖙ乏ᜢ䞡DŽ

⊼ᛣ˖Ң1991ᑈᓔྟᮄफ࿕ᇨ຿ܡ⭿㾘ߦⱘЏ㽕ব࣪ࣙᣀ˖1993ᑈ᳜ᓔྟbൟ⌕ᛳர㸔ᴚ㦠⭿㢫᥹⾡ˈ1993ᑈᓎ䆂᠔᳝ⱘ10–16ቕҎ㕸᥹⾡㄀Ѡࠖ

⃵৿咏⮍៤ߚ⭿㢫˄咏⮍㝂㝎♢亢⮍ˈ咏亢㝂˅ˈ▇໻߽Ѯ咏⮍᥻ࠊ㸠ࡼ˖䇗ᭈ㄀Ѡࠖ⃵咏亢㝂㟇4ቕˈ1998ᑈᇍ5–12ቕᇣᄺܓスᓔሩᔎ࣪ܡ

⭿ˈ2013ᑈ6᳜೼᳜啘᥹⾡咏亢㝂⭿㢫ˈ᳓ҷ4ቕᯊ᥹⾡咏亢㝂⭿㢫ˈ2003ᑈᓩܹ㛥㝰♢⧗㦠C㒧ড়⭿㢫ˈ2013ᑈ8᳜4CMenB⊼ݠⱏ䆄ˈ1994 ᑈ乱໪ⱘᄺࠡⱒ᮹ઇᔎ࣪ˈᑈҷৢᳳՓ⫼᮴㒚㚲⭿㢫˄DTPa˅ҷ᳓ܼ㒚㚲⭿㢫ˈ2003ᑈՓ⫼18᳜啘ᔎ࣪ҷ᳓䴦ᇥᑈᔎ࣪ˈ೼ֱᡸㄪ⬹㾘ᅮ ϟˈNSW䌘ࡽЎ⠊↡ǃ⼪⠊↡੠ᇣѢ᳜啘၈ܓⱘ✻ⳟ㗙᥹⾡dTpa⭿㢫ˈ2005ᑈᓔྟЎ၈ܓ᥹⾡Ӌ㘨ড়㚎♢⧗㦠⭿㢫˄PCV-7˅ˈ2011ᑈ7᳜13 Ӌ㘨ড়㚎♢⧗㦠⭿㢫ҷ᳓PCV-7˄䖯ϔℹֵᙃ㾕䫒᥹˖http://ncirs.edu.au/immunisation/history/index.php˅DŽ

㸼

2. 2013

ᑈ▇໻߽Ѯᮄफ࿕ᇨ຿䚼ߚ⭿㢫ৃ乘䰆⮒⮙৘ᑈ啘㒘᡹ਞ⮙՟᭄੠থ⮙⥛˄

/100 000

Ҏষ˅

ᑈ啘㒘˄

ቕ˅

bൟ⌕ᛳர㸔

ᴚ㦠ᛳᶧ 咏⮍ 㛥㝰♢⧗㦠⮙

˄։㺁ᗻ˅ 㝂㝎♢ ⱒ᮹ઇ 㚎♢⧗㦠⮙

˄։㺁ᗻ˅ 亢⮍ ⸈Ӹ亢

n ⥛ n ⥛ n ⥛ n ⥛ n ⥛ n ⥛ n ⥛ n ⥛

0–4 5 1.0 10 2.1 16 3.3 9 1.9 444 92.4 60 12.5 0 0 0 0

5–9 0 0 6 1.3 2 0.4 2 0.4 515 111.1 9 1.9 0 0 0 0

10–14 0 0 3 0.7 4 0.9 4 0.9 277 62.2 7 1.6 0 0 0 0

15–19 0 0 3 0.6 8 1.7 15 3.2 68 14.7 3 0.6 4 0.9 0 0

20–24 0 0 1 0.2 2 0.4 9 1.8 52 10.4 8 1.6 1 0.2 0 0

25–29 0 0 3 0.6 1 0.2 9 1.7 67 12.6 7 1.3 3 0.6 0 0

30–34 0 0 3 0.6 1 0.2 12 2.3 80 15.2 14 2.7 2 0.4 1 0.2

35–39 0 0 3 0.6 0 0 7 1.4 110 22.1 19 3.8 0 0 0 0

40–44 0 0 2 0.4 0 0 5 1.0 151 28.9 22 4.2 0 0 0 0

45–49 0 0 0 0 2 0 4 0.8 95 19.5 21 4.3 1 0.2 0 0

50–54 0 0 0 0 2 0.4 4 0.8 88 17.7 22 4.4 0 0 0 0

55–59 0 0 0 0 1 0.2 3 0.7 75 16.5 35 7.7 1 0.2 0 0

60–64 0 0 0 0 2 0.5 2 0.5 103 25.8 45 11.3 0 0 0 0

65–69 1 0.3 0 0 1 0.3 3 0.8 77 21.5 52 14.5 0 0 0 0

70–74 1 0.4 0 0 2 0.8 2 0.8 57 21.8 34 13.0 0 0 0 0

75–79 0 0 0 0 0 0 0 0 38 19.0 32 16.0 0 0 0 0

80–84 0 0 0 0 0 0 0 0 27 17.6 39 25.4 0 0 1 0.7

85+ 2 1.3 0 0 2 1.3 1 0.6 13 8.4 42 27.1 0 0 0 0

0 50 100 150 200 250

2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013

Case notification

Year

Y W135 Other C B

೒

2. 2002

㟇

2013

ᑈ▇໻߽Ѯᮄफ࿕ᇨ຿։㺁ᗻ㛥㝰♢⮒⮙ᑈᑺ᡹ਞ⮙՟᭄

&㕸㛥㝰♢⧗㦠⭿㢫

᡹ਞ⮙՟᭄

ᑈ

݊Ҫ

100%60ৡ⮙՟ⱘ5ቕҹϟܓス⮙՟ⱘ⭿㢫᥹⾡ֵᙃ

䛑ৃҹ㦋ᕫDŽ40ৡ67%⮙՟䖯㸠њܼ⿟᥹⾡ˈ᳝18 ৡ13%⮙՟៪㗙᥹⾡њ䚼ߚ⭿㢫ˈ៪㗙ᰃᑈ啘໾ᇣ 㗠᳾᥹⾡㄀ϔࠖ⃵⭿㢫DŽ᳝8՟ܼ⿟᥹⾡ⱘܓスᛳᶧњ

⭿㢫㸔⏙ൟⱘ㚎♢⧗㦠DŽ19A㸔⏙ൟऴ⭿㢫ܡ⭿༅䋹 ⱘ63%ˈ㗠݊Ҫ⮙՟߭ᰃ⬅3㸔⏙ൟ25%੠23F㸔⏙

ൟ12%᠔㟈DŽҢ2011ᑈ7᳜1᮹䍋ˈᮄफ࿕ᇨ຿ܡ

⭿⿟ᑣՓ⫼13Ӌ㘨ড়㚎♢⧗㦠⭿㢫PCV-13ҷ᳓Ӌ 㘨ড়㚎♢⧗㦠⭿㢫PCV-7DŽPCV-13⭿㢫ᇍ乱໪ⱘ㸔

⏙ൟ1ˈ3ˈ5ˈ6Aˈ7F੠19Aгѻ⫳ֱᡸᗻDŽ೼ᓩܹ

PCV-13ৢˈᮄफ࿕ᇨ຿5ቕҹϟܓスথ⮙⥛Ң2011ᑈ 19.0/100 000ϟ䰡ࠄ2013ᑈⱘ12.5/100 000DŽ೼⭿

㢫ᓩܹৢˈ⭿㢫㸔⏙ൟᇐ㟈⮒⮙ⱘ↨՟ϟ䰡њ29%ˈ

✊㗠ˈ⬅䴲⭿㢫᷾ᇐ㟈ⱘ⮒⮙↨՟Ϟछњ29%DŽ 亢⮍

2013

ᑈˈᮄफ࿕ᇨ຿᡹ਞњ

12

՟亢⮍⮙՟ˈ

2012

ᑈ

᡹ਞњ

10

՟㸼

1

DŽ᠔᳝⮙՟ᑈ啘೼

15–60

ቕП䯈DŽ

7 58% LHD

᳝݅102ৡ⮙՟ᇣѢ12᳜啘ˈ݊Ё56՟˄55%˅

၈ ܓ ⬅ Ѣ ᑈ 啘 ໾ ᇣ ᳾ ᅠ ៤

3ࠖ ⃵ ⭿ 㢫 ᥹ ⾡ DŽ 342ৡ 1–4ቕ⮙՟Ёˈ24՟˄7%˅᳾᥹⾡⭿㢫ˈ9՟˄3%˅

᥹⾡ᇥѢ3ࠖ⃵⭿㢫ˈ289՟˄85%˅᥹⾡3ࠖ⃵៪ҹ Ϟ⭿㢫DŽ݊ԭⱘ5%ⱘ⮙՟᳾᡹ਞ⭿㢫᥹⾡ࠖ⃵DŽ 㚎♢⧗㦠⮙˄։㺁ᗻ˅

2013

ᑈ ˈ ᡹ ਞ

471

՟ ։ 㺁 ᗻ 㚎 ♢ ⧗ 㦠 ⮙ ⮙ ՟ ˈ

2012

ᑈ᡹ਞњ

579

՟㸼

1

DŽ᳝݅

40

՟⅏ѵ݊Ё

2

՟Ўܓス

1

՟

1

ቕ

15C

㸔⏙ൟ䴲⭿㢫ൟ঺

1

՟

2

ቕ

19A

⭿㢫ൟˈܓスܼ⿟᥹⾡DŽ೼݊Ҫ⅏ѵ⮙՟Ё

2

՟ᰃ

35–49

ቕᑈ啘㒘

8

՟ᰃ

50–64

ቕᑈ啘㒘

28

՟ ᰃ

65

ቕঞҹϞᑈ啘㒘DŽ৘

LHD

ⱘ᡹ਞ⥛Ң᳔㽓䚼

LHD

ⱘ

3.2/100 000

ࠄሐᑇ㪱ቅ

LHD

ⱘ

9.0/100 000

㸼

3

DŽ

೼

361

ৡ

0–4

ቕ⮙՟៪㗙

50

ቕҹϞ⮙՟Ёᑈ啘㒘⬅

݀݅ि⫳䚼䮼䱣䆓⹂ᅮ

10

՟

3%

ᰃೳ㨫ሙ⇥ೳ

㨫 ሙ ⇥ ᡹ ਞ থ ⮙ ⥛ 催 Ѣ 䴲 ೳ 㨫 ሙ ⇥ থ ⮙ ⥛ ߚ ߿ Ў

17.9/100 000

੠

11.9/100 000

DŽ

㸼

3. 2013

ᑈ▇໻߽Ѯᮄफ࿕ᇨ຿䚼ߚ⭿㢫ৃ乘䰆⮒⮙ϡৠऎඳ᡹ਞ⮙՟᭄੠থ⮙⥛˄

/100 000

Ҏষ˅^*

ഄᮍि⫳ऎ

bൟ⌕ᛳர㸔

ᴚ㦠ᛳᶧ 咏⮍ 㛥㝰♢⧗㦠⮙

˄։㺁ᗻ˅ 㝂㝎♢ ⱒ᮹ઇ 㚎♢⧗㦠⮙

˄։㺁ᗻ˅ 亢⮍ ⸈Ӹ亢

n ⥛ n ⥛ n ⥛ n ⥛ n ⥛ n ⥛ n ⥛ n ⥛

ᙝሐ 0 0 8 1.4 0 0 10 1.7 99 16.5 36 6.0 0 0 0 0 ᙝሐ㽓फ䚼 0 0 2 0.2 4 0.4 12 1.3 192 21.2 60 6.6 3 0.3 0 0 ᙝሐϰफ䚼 3 0.3 4 0.5 3 0.3 11 1.3 273 31.4 46 5.3 0 0 0 0 ձᢝ⪺ᢝ㙪ᇨ

咥᭛

0 0 4 1.0 0 0 3 0.8 176 45.1 28 7.2 0 0 0 0

ᙝሐ㽓䚼 0 0 3 0.3 5 0.6 13 1.5 203 23.0 49 5.6 1 0.1 0 0 ሐᑇ㪱ቅ 1 0.3 0 0 3 0.8 6 1.7 122 34.3 32 9.0 1 0.3 1 0.3 ᙝሐ࣫䚼 0 0 6 0.7 9 1.0 23 2.6 317 36.2 35 4.0 1 0.1 1 0.1 Ё⍋ኌ 0 0 0 0 2 0.6 0 0 42 12.8 20 6.1 0 0 0 0 Ѽ⡍ᮄ㣅Ḑ݄ 1 0.1 0 0 10 1.2 1 0.1 290 32.4 75 8.4 0 0 0 0 ᮄफ࿕ᇨ຿

࣫䚼

2 0.7 6 2.1 4 1.4 10 3.4 99 34.0 17 5.8 6 2.0 0 0

Ё࣫⍋ኌ 0 0 0 0 1 0.5 1 0.5 68 32.4 7 3.3 0 0 0 0 ᮄफ࿕ᇨ຿

फ䚼

0 0.0 1 0.5 1 0.5 0 0 129 64.4 14 7.0 0 0 0 0

偀݄↨ᄷ⊇

˄ࣙᣀ䰓ᇨԃ 䞠LHD˅

1 0.3 0 0 1 0.3 0 0 245 84.8 22 7.6 0 0 0 0

ᮄफ࿕ᇨ຿

㽓䚼

1 0.4 0 0 3 1.1 1 0.4 75 27.3 24 8.7 0 0 0 0

䖰㽓 0 0 0 0 0 0 0 0 3 9.7 1 3.2 0 0 0 0

ৌ⊩عᒋ 0 0 0 0 0 0 0 0 1 N/A 0 0 0 0 0 0

⊼ᛣ˖≵᳝ࣙᣀ㔎༅੠೼೑໪ᛳᶧⱘ᡹ਞ⮙՟DŽ N/Aˈϡ䗖⫼DŽ

՟˄n=14ˈ41%˅Ў೑໪ᛳᶧ᠔㟈ˈԚѠҷӴ᪁䕗 ᇥDŽ䖭⾡⌕㸠⮙ᄺ⡍ᕕৃ㛑ᰃ⬅Ѣ⮙՟᥹㾺㗙Ё݋᳝

䕗催ⱘ咏⮍ܡ⭿∈ᑇǃҹঞ᳝ᬜⱘ݀݅ि⫳ᑨᇍ㋏㒳 㗠ᔶ៤DŽᮄफ࿕ᇨ຿࣫䚼/+'᡹ਞথ⮙⥛᳔催ˈ㗠䙷Ͼ

ഄऎⱘ⭿㢫᥹⾡⥛гᰃᮄफ࿕ᇨ຿᳔Ԣⱘ^[7]DŽ

Ң

2003

ᑈᓔྟᅲᮑܼ೑

C

㕸㛥㝰♢⧗㦠ܡ⭿乍 Ⳃҹᴹˈ։㺁ᗻ㛥㝰♢⮙ⱘ᡹ਞ⮙՟᭄ᯢᰒϟ䰡^[8]DŽ

B

㸔 ⏙ 㕸 ೼ ᮄ फ ࿕ ᇨ ຿ ҡ ✊ ᰃ Џ 㽕 ⮙ ॳ ԧ ˗ ✊ 㗠 ˈ Ϣ

2012

ᑈⳌ↨ˈ

2013

ᑈϟ䰡᳔໮ⱘ㛥㝰♢⮙՟㸔⏙

ൟЎ

B

㸔⏙ൟˈ䆹㸔⏙ൟᇮ᮴䩜ᇍᗻ⭿㢫^[9]DŽ⬅

Y

㸔⏙

㕸ᇐ㟈ⱘϔৡ㗕Ҏ⅏ѵˈᦤ⼎㗕ᑈҎ⅏ѵ⥛೼๲催ˈ ᇸ݊ᰃ

Y

㸔⏙ൟ^[10]DŽ

C

㕸㛥㝰♢⧗㦠⭿㢫༅䋹ৃ㛑ᰃ⬅

Ѣܡ⭿࡯ޣ䗔ǃᆓЏ಴㋴៪Ϣ⭿㢫ᄬټ៪᥹⾡ᅲᮑ᳝

݇ⱘ䯂乬᠔㟈DŽ䱣ⴔᮄⱘ䩜ᇍ㛥㝰♢⧗㦠

B

㸔⏙㕸⭿㢫 ⱘߎ⦄˄䆹⭿㢫᳾ࣙᣀ೼Ⳃࠡⱘܡ⭿㾘ߦЁ˅ˈ䳔㽕 㗗㰥݊ᇍ㦠᷾বᓖҹঞ㦠᷾ᨎᏺ䗴៤ⱘᕅડˈ䖬᳝⭿

㢫᥹⾡ৢϡ㡃ডᑨˈҹঞᓩܹ⭿㢫ৢབԩᅮН੠ⲥ⌟

⭿㢫ⱘ᳝ᬜᗻ੠༅䋹^[11]DŽ

bൟ⌕ᛳர㸔ᴚ㦠ܡ⭿乍ⳂҢ1993ᑈᓔྟᅲᮑˈ

ᏆপᕫњᎼ໻ⱘ៤ࡳˈ䆹乍ⳂՓbൟ⌕ᛳர㸔ᴚ㦠ᛳ ᶧ೼䖥ѯᑈ䖒ࠄᑊ㓈ᣕ೼䕗Ԣⱘ᡹ਞ⥛DŽ݊Ҫ⭿㢫

ৃ乘䰆⮒⮙˄՟བ㝂㝎♢ˈ亢⮍੠⸈Ӹ亢˅ⱘ᡹ਞ

⥛ˈ೼䖥ѯᑈֱᣕ〇ᅮ៪ϟ䰡DŽሑㅵ䖭ѯ᭄᥂ҡᄬ೼

ϔᅮⱘሔ䰤ᗻˈԚᰃᮄफ࿕ᇨ຿ⱘ⭿㢫ৃ乘䰆⮒⮙

ⱘⲥ⌟㋏㒳ৃҹՓ݀݅ि⫳᥾ᮑᕫࠄঞᯊᅲᮑˈᑊ ᐂࡽ᳈དഄᥠᦵ⮒⮙ⱘ䍟࢓ˈҹঞЎᬓㄪᦤկⳌֵ݇

ᙃDŽ

䳡хǃ⬆㙱੠Ӹᆦ⮙՟೼ࠡᕔ催亢䰽೑ᆊࠡ᥹

⾡⭿㢫㗙䴲ᐌᇥˈᦤ⼎њߎথࠡЎᮙ㸠㗙᥹⾡⭿㢫݋

᳝Ꮌ໻ⱘ┰࡯DŽए⭫ֱعᦤկ㗙೼ᮙ㸠㗙ߎথПࠡᦤ կ੼䆶᳡ࡵᯊˈᑨᔧ㗗㰥೑ᆊ៪ഄऎ⡍ᅮⱘ⭿㢫᥹

⾡ǃ乘䰆੠䙓ܡ⮒⮙ⱘᓎ䆂^[12]DŽ䲛ЏᑨᔧЎᛳᶧ⭿

㢫ৃ乘䰆⮒⮙亢䰽催ⱘਬᎹᅲᮑܼ䴶ⱘ㘠Ϯ⭿㢫᥹⾡

乍Ⳃ^[13]DŽᇍѢ೼Ꮉ԰Ёᐌ㾘᥹㾺䳡х˄៪݊Ҫ⮙ॳ ԧ˅ⱘᎹ԰Ҏਬˈ▇໻߽Ѯܡ⭿᥹⾡᠟ݠৃ㛑Ӯ㗗㰥 ᇚ䳡х˄੠ৃ㛑ⱘ݊Ҫ⮙ॳԧ˅㒇ܹࠄܡ⭿᥼㤤⿟ᑣ ЁDŽ

೼2011ᑈᓩܹ13Ӌ㘨ড়㚎♢⧗㦠⭿㢫ৢˈ։㺁ᗻ 㚎♢⧗㦠⮙՟᭄ᣕ㓁ϟ䰡ˈথ⮙೼໻໮᭄ᑈ啘㒘ഛϟ 䰡DŽᮄफ࿕ᇨ຿5ቕҹϟܓスⱘ᡹ਞথ⮙⥛Ң2011ᑈ ⱘ19.0/100 000ϟ䰡ࠄ2013ᑈⱘ12.5/100 000DŽ19A 㸔⏙ൟҡ✊ᰃܓスᙷ⮙ⱘ佪㽕⮙ॳԧˈ㗠Ϩ䆹㸔⏙ൟ ᛳᶧгᰃ䖭ϔᑈ啘㒘˄0–5ቕ˅໻໮᭄⭿㢫ܡ⭿༅䋹ⱘ ॳ಴DŽሑㅵܓスⱘ᡹ਞ⥛≵᳝๲ࡴˈԚ⬅䴲⭿㢫Ⳍ݇

ⱘ㸔⏙ൟᇐ㟈ᛳᶧⱘ᡹ਞ⥛೼㒻㓁ϞछDŽ

⸈Ӹ亢

2013ᑈˈᮄफ࿕ᇨ຿᡹ਞњ2՟⸈Ӹ亢⮙՟ˈ1՟ᰃ 30ቕ⬋ᗻᓎㄥᎹҎˈ᡹ਞ᳒᥹⾡䖛⭿㢫ˈ঺1՟ᰃ 82ቕ⬋ᗻˈ᡹ਞ೼10ᑈࠡ᥹⾡䖛⭿㢫DŽ

䖛 এ

5

ᑈ Ё ˈ ᡹ ਞ ⱘ ⸈ Ӹ 亢 ⮙ ՟ ᭄ ֱ ᣕ Ⳍ ᇍ ϡ বˈ↣ᑈ

1

㟇

2

՟DŽ

݊Ҫᮙ㸠Ⳍ݇ⱘ⭿㢫ৃ乘䰆⮒⮙

䳡х

2013ᑈˈᮄफ࿕ᇨ຿᡹ਞњ2՟䳡х⮙՟ˈ1՟Ў᳾᥹

⾡⭿㢫ⱘ⮙՟ˈ೼এᄳࡴᢝ೑ᯊ㹿ᛳᶧˈ঺1՟ᰃ㘠Ϯ ᗻᛳᶧⱘᅲ偠ᅸᎹ԰㗙DŽ

⬆㙱

2013ᑈˈ᡹ਞњ62՟⬆㙱⮙՟ˈ݊Ё47՟೼݊Ҫ೑

ᆊᛳᶧDŽ1ৡ⮙՟᡹ਞ೼⾏ᓔ▇໻߽Ѯ5ᑈПࠡ᳒᥹⾡

њ⬆㙱⭿㢫ˈ঺໪݊Ҫ՟˄11%˅ᰃ಴ЎҪӀⱘᆊᒁ ៤ਬ೼೑໪ᛳᶧˈ✊ৢҪӀϢ⮙՟⬅Ѣᆊᒁݙ᥹㾺᠔ 㟈ˈ䖬᳝2՟˄3%˅᡹ਞ亳⫼њ݊Ҫ೑ᆊⱘ亳⠽㗠㹿 ᛳᶧDŽ݊Ҫ6՟˄10%˅ᰃᴀഄᛳᶧ㗙ˈ᳾থ⦄Ӵᶧᴹ

⑤DŽ Ӹᆦ

2103

ᑈˈ᡹ਞњ

59

՟Ӹᆦ⮙՟ˈ݊Ё

54

՟˄

93%

˅

೼೑໪ᛳᶧDŽ೼䖭

54

՟⮙՟Ёˈ᳝

6

՟᡹ਞ೼ᮙ㸠ࠡ

䖯㸠њ⭿㢫᥹⾡ˈ

5

ৡ⮙՟᡹ਞ᮴೑໪ᮙ㸠৆ˈ݊Ё

3

՟Ϣ

1

՟⹂䆞⮙՟᳝ᆊᒁ᥹㾺ˈ՟᡹ਞ᥹㾺њ೑໪ᮙ 㸠㗙ˈ঺

1

՟⮙՟᳾ᡒࠄᛳᶧᴹ⑤DŽ

䅼䆎

2013ᑈ ˈ ᠔ ᳝ ᑈ 啘 㒘 ⱘ ⱒ ᮹ ઇ ᡹ ਞ থ ⮙ ⥛ ᰃ 㞾 2007ᑈҹᴹ᳔ԢⱘDŽ2013ᑈⱒ᮹ઇⱘ⌕㸠⮙ᄺ⡍ᕕ

Ϣⱒ᮹ઇ↣3–4ᑈⱘ⌕㸠਼ᳳЁⱘԢӴ᪁䰊↉Ⳍϔ㟈DŽ ᮄफ࿕ᇨ຿ि⫳䌘ࡽⱘֱᡸᗻ⭿㢫᥹⾡乍Ⳃᳳ䯈ˈ ᇍ៤Ҏⳟᡸ㗙䕗催ⱘ⭿㢫㽚Ⲫ⥛гᰃᇐ㟈Ԣথ⮙⥛ⱘ ॳ಴^[4]DŽ੠ࠡ޴ᑈᚙމϔḋˈ5–9ቕ㒘ܓスⱘ᡹ਞথ⮙

⥛᳔催DŽ

ҢѠकϪ㑾бकᑈҷৢᳳᓔྟˈᮄफ࿕ᇨ຿Ꮖ 㒣⍜䰸њ咏⮍ᴀഄӴ᪁^[5]ˈ✊㗠ˈ

2011

ᑈ੠

2012

ᑈ ᮄफ࿕ᇨ຿᡹ਞⱘ咏⮍ᲈথⱘ㾘῵੠ᣕ㓁ᯊ䯈䛑೼

๲ࡴ^[6,7]DŽ

2013

ᑈⱘ咏⮍⌕㸠⮙ᄺ⡍ᕕЎ˖᳝ᕜ໮⮙

খ㗗᭛⤂

1. Health New South Wales. Local Health Districts and Specialty Networks. North Sydney, New South Wales Health, 2014 (http://www.health.nsw.gov.au/lhd/pages/default.aspx, accessed 15 March 2015).

2. Rosewell A, Spokes PJ, Gilmour RE. NSW Annual vaccine- preventable disease report, 2011. New South Wales Public Health Bulletin, 2012, 23:171–178. doi:10.1071/NB12086 pmid:23442994

3. Communicable Diseases Network Australia. Australian national notifiable diseases and case definitions. Canberra, Department of Health, 2014 (http://www.health.gov.au/casedefinitions, accessed 16 May 2014).

4. Quinn HE et al. Parental Tdap boosters and infant pertussis: a case-control study. Pediatrics, 2014, 134:713–20. doi:10.1542/

peds.2014-1105 pmid:25225136

5. Heywood AE et al. Elimination of endemic measles transmission in Australia. Bulletin of the World Health Organization, 2009, 87:64–71. doi:10.2471/BLT.07.046375 pmid:19197406 6. Hope K et al. Measles transmission in health care waiting

rooms: implications for public health response. Western Pacific Surveillance and Response Journal, 2012, 3:33–8. doi:10.5365/

wpsar.2012.3.3.009 pmid:23908937

7. Health New South Wales. Percentage of children in NSW fully immunised by age group and Local Health District – March 2011 – March 2014. North Sydney, New South Wales Health, 2014 (http://www.health.nsw.gov.au/immunisation/Documents/

coverage-by-LHD.pdf, accessed 3 November 2014).

8. Booy R et al. Impact of meningococcal C conjugate vaccine use in Australia. Medical Journal of Australia, 2007, 186:108–109.

pmid:17309394

9. Rosewell A, Spokes PJ, Gilmour RE. New South Wales annual vaccine-preventable disease report, 2012. Western Pacific Surveillance and Response Journal, 2014, 5(2):15–22.

doi:105365/wpsar.2014.5.2.004 pmid:25077033

10. Gunaratnam P et al. Invasive meningococcal disease in elderly people, New South Wales, Australia, 1993 to 2012. Western Pacific Surveillance and Response Journal, 2013, 4(4):4–10.

doi:10.5365/wpsar.2013.4.4.001 pmid:24478917

11. Kaaijk P, van der Ende A, Luytjes W. Routine vaccination against Men B: considerations for implementation. Human Vaccines and Immunotherapies, 2014, 10:310–6. doi:10.4161/hv.26816 pmid:24141209

12. Surveillance for Travel-Related Disease — GeoSentinel Surveillance System. United States, 1997–2011. MMWR. Surveillance Summaries, 2013, 62:1–23 (http://www.cdc.gov/mmwr/preview/

mmwrhtml/ss6203a1.htm accessed 28 May 2014).

13. Australian Technical Advisory Group on Immunization. The Australian Immunisation Handbook 10th Edition. Canberra, Australian Government Department of Health, 2013 (http://

www.immunise.health.gov.au/internet/immunise/publishing.nsf/

Content/Handbook10-home, accessed 16 May 2014).

14. Public Health Act 2010 No 127. North Sydney, New South Wales Consolidated Acts, 2013 (http://www.legislation.nsw.gov.

au/inforcepdf/2010-127.pdf?id=e20f1d11-6a0d-ec9a-fe79- d31ae57c52c3, accessed 8 April 2015).

2010ᑈ݀݅ि⫳⊩Ḝ

^[14]㾘ᅮᮄफ࿕ᇨ຿⊩ᅮ᡹

ਞ⮒⮙᭄᥂ᑧⱘ᡹ਞ⮙՟䳔㽕᳝ᅲ偠ᅸ䆕᥂៪Ϣᅲ 偠ᅸ⹂䆞⮙՟᳝㘨㋏DŽ᡹ਞ⮙՟ⱘ᭄䞣ড᯴њᮄफ

࿕ᇨ຿৘ഄϡৠⱘህए㸠Ў੠Ẕ⌟㛑࡯DŽ಴ℸˈᴀ᭛

ߚᵤⱘ᭄᥂᳝ৃ㛑ԢԄњᮄफ࿕ᇨ຿ⳳℷⱘᛳᶧথ⮙

⥛DŽ

㒧䆎

ᮄफ࿕ᇨ຿ⱘ⭿㢫ৃ乘䰆⮒⮙ⲥ⌟㋏㒳ᅲ⦄њᇍ⮒⮙

䍟࢓ⱘᔎ࣪ⲥ⌟ǃᅲᮑᲈথ᥻ࠊ᥾ᮑҹঞ䆘Ԅ乘䰆乍 ⳂDŽ

2013

ᑈ乘䰆੠᥻ࠊ乍Ⳃⱘ㽕⚍ࣙᣀ၈ܓⱒ᮹ઇ

᡹ਞথ⮙⥛Ԣǃ᮴၈ܓⱒ᮹ઇ⅏ѵ⮙՟ˈ咏⮍䕧ܹᗻ

⮙՟Пৢⱘᵕ᳝݊䰤ⱘѠҷӴ᪁ˈҹঞ

C

㸔⏙㕸ᇐ㟈 ⱘ։㺁ᗻ㛥㝰♢⧗㦠⮙থ⮙⥛䕗ԢDŽⳂࠡҡᄬ೼ϔѯ ᣥ៬ˈࣙᣀ㓽ᇣ催ॅҎ㕸ⱘ咏⮍ܡ⭿ぎⱑǃ⹂ֱᮄ⫳

ܓ↡҆ᇍⱒ᮹ઇ˄੠⌕ᛳ˅᳝䎇໳ⱘܡ⭿࡯ǃҹঞ֗

䖯ᮙ㸠㗙੠݊Ҫ催ॅҎ㕸ⱘ⭿㢫᥹⾡DŽ၈ܓ੠ܓスⱘ 䕗催⭿㢫᥹⾡⥛੠ঞᯊ᥹⾡ᇍѢֱᣕԢথ⮙⥛䴲ᐌ䞡 㽕DŽ֗䖯ೳ㨫ሙ⇥⼒ऎⱘ⭿㢫㽚Ⲫ⥛ᇍ៤ࡳⱘ⮒⮙乘 䰆ㄪ⬹ᰃ䴲ᐌ݇䬂ⱘDŽ

߽Ⲟކさ

᮴DŽ 䌘ࡽ

᮴DŽ 㟈䇶

៥Ӏ㹋ᖗᛳ䇶⮒⮙᡹ਞ㗙ˈᛳ䇶ᓔሩ䇗ᶹ੠䱣䆓᡹ਞ ⱘ݀݅ि⫳㔥㒰Ꮉ԰Ҏਬˈᛳ䇶ᮄफ࿕ᇨ຿ि⫳ᅲ偠 ᅸ㔥㒰DŽ

ᓩ⫼ᴀ᭛ഄഔ˖

Rosewell A et al. New South Wales annual vaccine- preventable diseases report, 2013. Western Pacific Surveillance and Response Journal, 2015, 6(2):37–

44. doi:10.5365/wpsar.2014.5.4.009