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Active Vaccine Safety Surveillance: Global Trends and Challenges in China

查看全文 作  者:Zhike [1]Liu;Ruogu [2]Meng;Yu [2]Yang;Keli [3]Li;Zundong [3]Yin;Jingtian [4]Ren;Chuanyong [4]Shen;Zijian [3]Feng;Siyan [1]Zhan 高影响力作者 机构地区:[1]Department of Epidemiology and Biostatistics,Peking University Health Science Center,Beijing,China;[2]National Institute of Health Data Science,Peking University,Beijing,China;[3]National Immunization Programme,Chinese Center for Disease Control and Prevention,Beijing,China;[4]Center for Drug Reevaluation,National Medical Products Administration,Beijing,China高影响力机构 出  处:《Health Data Science》索引2021年第1期,共10页高影响力期刊 基  金:This work was supported by the National Natural Science Foundation of China(Grant no.81973146);the advanced project of the Beijing Natural Science Foundation(Grant no.BMU2019GJJXK003). 摘  要:Importance.The great success in vaccine-preventable diseases has been accompanied by vaccine safety concerns.This has caused vaccine hesitancy to be the top 10 in threats to global health.The comprehensive understanding of adverse events following immunization should be entirely based on clinical trials and postapproval surveillance.It has increasingly been recognized worldwide that the active surveillance of vaccine safety should be an essential part of immunization programs due to its complementary advantages to passive surveillance and clinical trials.Highlights.In the present study,the framework of vaccine safety surveillance was summarized to illustrate the importance of active surveillance and address vaccine hesitancy or safety concerns.Then,the global progress of active surveillance systems was reviewed,mainly focusing on population-based or hospital-based active surveillance.With these successful paradigms,the practical and reliable ways to create robust and similar systems in China were discussed and presented from the perspective of available databases,methodology challenges,policy supports,and ethical considerations.Conclusion.In the inevitable trend of the global vaccine safety ecosystem,the establishment of an active surveillance system for vaccine safety in China is urgent and feasible.This process can be accelerated with the consensus and cooperation of regulatory departments,research institutions,and data owners. 关 键 词:APPROVAL entirely summarized
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