Childhood Immunization Status—Combination 3
Ntsuas txhais
Qhov Kev Tiv Thaiv Me Nyuam Yaus-Kev Sib Txuas 3 kev ntsuas suav cov feem pua ntawm cov menyuam yaus uas tau pom tias muaj cov tshuaj tiv thaiv hauv qab no: plaub tus kab mob diphtheria, tetanus, thiab pertussis (DTaP); peb tus kab mob poliovirus (IPV); ib tug qhua pias, mumps, thiab rubella (MMR); peb Haemophilus influenza type B (HiB); peb kab mob siab B; ib tus kab mob varicella-zoster (pox qaib los yog VZV); thiab plaub qhov kev txhaj tshuaj tiv thaiv kab mob pneumococcal rau lossis ua ntej tus menyuam hnub yug thib ob.
Qhov tseem ceeb
Kev tiv thaiv kab mob yog tus yuam sij rau kev noj qab haus huv rau pej xeem, thiab ib txoj hauv kev yooj yim tshaj plaws rau kev tiv thaiv kab mob yog kev txhaj tshuaj. Kev txhaj tshuaj yog cov cuab yeej zoo tshaj plaws thiab muaj txiaj ntsig zoo tshaj plaws los tiv thaiv menyuam yaus los ntawm ntau yam kab mob loj heev rau menyuam yaus. Cov tshuaj tiv thaiv tau raug pov thawj los pab cov menyuam yaus noj qab haus huv thiab zam kev phom sij ntawm cov kab mob xws li kab mob diphtheria, tetanus, kab mob siab, kab mob polio, qhua pias, mumps, thiab rubella. Txawm hais tias tus nqi ntawm cov kab mob tiv thaiv kab mob tsawg heev hauv Tebchaws Meskas, cov kab mob thiab cov kab mob uas ua rau cov kab mob sib kis no tseem muaj. Measles yog ib qho ntawm cov kab mob sib kis tshaj plaws hauv ntiaj teb thiab feem ntau raug xa mus rau Tebchaws Meskas. Ntau tshaj li 90 feem pua ntawm cov neeg uas tsis tau txhaj tshuaj tiv thaiv kab mob yuav kis tus kab mob yog tias kis tau thiab ntau li peb ntawm txhua 1,000 tus neeg mob yuav ua rau tuag hauv Tebchaws Meskas.40 Tsis tas li ntawd, Lub Chaw Tiv Thaiv thiab Tiv Thaiv Kab Mob (CDC) kwv yees tias ib feem peb ntawm cov kab mob siab B mus txog rau lub neej hauv Tebchaws Meskas tau tshwm sim los ntawm kev kis tus kab mob thawj zaug hauv ob peb xyoos. Tsis tas li ntawd, tsis muaj kev txhaj tshuaj tiv thaiv kom raug, qhov muaj peev xwm kis tau cov kab mob tiv thaiv kab mob xws li qhua pias, mumps, thiab pertussis ( hnoos hawb pob) rau cov neeg tsis muaj kev tiv thaiv tau nce zuj zus. Piv txwv li, nyob rau xyoo 2006, qhov tshwm sim ntawm tus kab mob qog nqaij hlav ntawm cov menyuam kawm ntawv qib siab hauv Asmeskas tau ua rau ntau dua 6,500 tus neeg mob qog nqaij hlav thoob plaws ntau lub xeev.
Kev them nyiaj ncaj ncees thiab kev lag luam ncaj qha los ntawm kev ua kom txhua tus menyuam tau txais Lub Tsev Haujlwm Saib Xyuas Kabmob thiab Tiv Thaiv Kab Mob (CDC) Pawg Neeg Tawm Tswv Yim rau Kev Tiv Thaiv Kabmob '(ACIP's) pom zoo lub sijhawm txhaj tshuaj tiv thaiv ntau dua tus nqi ntawm kev tsis pub txhaj tshuaj txhua hnub. Cov tshuaj tiv thaiv menyuam yaus tiv thaiv 10.5 lab kab mob ntawm txhua tus menyuam yug hauv Tebchaws Meskas hauv ib xyoos thiab yog ib qho kev tiv thaiv tus nqi. Nws kwv yees tias txhua $ 1 siv rau kev txhaj tshuaj, ntau npaum li $ 29 tuaj yeem txuag tau tus nqi ncaj qha thiab tsis ncaj. Ib tug me nyuam uas muaj mob pox nyob rau nruab nrab tsis tuaj kawm ntawv tsib mus rau rau hnub thiab cov neeg laus saib xyuas peb mus rau plaub hnub ua haujlwm. Raws li kev kwv yees ntawm xyoo 2001 Asmeskas cov neeg yug me nyuam, kev txhaj tshuaj tiv thaiv menyuam yaus niaj hnub (raws li kev pom zoo los ntawm ACIP) net ib qho kev txuag nyiaj txiag thiab kev noj qab haus huv ntawm $ 9.9 billion thiab $ 43.3 billion, feem.
Txawm hais tias tau tsim cov lus qhia thiab sau tseg cov txiaj ntsig thiab kev pheej hmoo cuam tshuam nrog kev txhaj tshuaj tiv thaiv menyuam yaus, qhov sib txawv ntawm qhov kev pab cuam tseem muaj. Cov ntaub ntawv pov thawj tau pom tias cov pej xeem uas muaj kev pheej hmoo loj tshaj plaws rau kev txhaj tshuaj tiv thaiv qis dua yog cov menyuam yaus los ntawm cov tsev neeg tau nyiaj tsawg lossis cov menyuam yaus nyob hauv nroog lossis nyob deb nroog.45 Xyoo 2007, yuav luag 25 feem pua ntawm cov menyuam yaus hauv Tebchaws Meskas uas muaj hnub nyoog 19 txog 35 hli tsis tau txais cov tshuaj tiv thaiv uas pom zoo. Vim li no, cov koom haum saib xyuas kev noj qab haus huv thiab cov kws tshaj lij tau pom zoo tias qhov yuav tsum tau tsom mus rau kev txhaj tshuaj tiv thaiv menyuam yaus hauv Tebchaws Meskas tseem tseem ceeb heev. Kev mob siab rau kev txhaj tshuaj tiv thaiv kab mob, feem ntau yog vim niam txiv kev txhawj xeeb txog cov tshuaj tiv thaiv tsis zoo, kuj tau ua rau muaj kev tiv thaiv kab mob. Xyoo 2008, tus me nyuam txhob txwm tsis txhob txhaj tshuaj tiv thaiv kab mob qhua pias ua rau muaj kev sib kis loj tshaj plaws hauv San Diego, California, txij li xyoo 1991. Ntau tshaj 800 tus neeg raug nthuav tawm thiab 12 qhov xwm txheej ntxiv tau txheeb xyuas ntawm tus nqi pej xeem cov nqi ntawm $ 10, 376 ib kis.
Txhawm rau saib seb Managed Care tau tshaj tawm li cas ntawm Childhood Immunization Status—Combination 3, nyem qhov no