Publications by authors named "Mengjuan Duan"

Article Synopsis
  • The WHO developed an alert system from May 2021 to June 2022 to assess and respond to public health risks related to COVID-19, analyzing data from 237 countries.
  • A three-stage mixed methods approach was utilized to predict future deaths and adjust alert levels based on context, leading to the creation of a watchlist for countries needing assistance.
  • The system facilitated significant support, including over $27 million in emergency funding and medical supplies, while demonstrating the potential for similar future applications in managing outbreaks.
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Problem: Quantifying mortality from coronavirus disease (COVID-19) is difficult, especially in countries with limited resources. Comparing mortality data between countries is also challenging, owing to differences in methods for reporting mortality.

Context: Tracking all-cause mortality (ACM) and comparing it with expected ACM from pre-pandemic data can provide an estimate of the overall burden of mortality related to the COVID-19 pandemic and support public health decision-making.

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Objectives: To examine the factors associated with the routine immunization status of children aged 2-3 years in China for gaining a better understanding of the Expanded Program on Immunization and to provide evidence for formulating specific strategies to guide the allocation of health resources.

Methods: We analyzed data from 45095 children aged 2-3 years in the 2013 National Immunization Coverage Survey to identify the sociodemographic and provider-associated factors affecting the full immunization status of children. Univariate and multiple logistic regression analyses were performed.

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China has a national requirement that children's vaccination status is to be checked upon entry to kindergarten and school; children who have missed vaccine doses are to be referred to vaccination clinics to receive the necessary vaccinations. Most provinces have Immunization Information Systems (IIS) that contain and manage vaccination records of children served by immunization clinics. We conducted an evaluation in Hubei and Ningxia provinces using IIS data to determine the effect of their school entry immunization record checking strategy (SECS) on vaccination coverage and rate of catch-up for selected vaccines.

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Article Synopsis
  • The study evaluated the effectiveness of Communication for Development (C4D) strategies in improving parental knowledge about immunization and increasing measles vaccine coverage in various provinces of western China from April 2013 to April 2014.
  • C4D activities led to significant increases in caregiver awareness regarding vaccination requirements, measles disease, and vaccine availability, resulting in a rise in one-dose measles vaccine coverage from 83.8% to 90.1%.
  • House-to-house communication was the most preferred method for C4D engagement among caregivers, with high levels of support for other educational approaches like posters and talks.
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Background: China reduced hepatitis B virus (HBV) infection by 90% among children under 5 years old with safe and effective hepatitis B vaccines (HepB). In December 2013, this success was threatened by widespread media reports of infant deaths following HepB administration. Seventeen deaths and one case of anaphylactic shock following HBV vaccination had been reported.

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Background: China is approaching measles elimination, but indigenous measles still circulates. County L in China has reported measles-containing vaccine (MCV) coverage rates >95% since 2000. Despite high reported coverage, a large measles outbreak occurred among young children in L County.

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Malaria is one of the most important public health problems around the world. Most region of China has embarked a transition from interruption of malaria transmission to elimination. This paper summarizes the main function and construction, the key parts, and the advantages in national field work of Malaria Indicator Survey (MIS) system, indicates the difficulties of establishing a Monitoring and Evaluation (M&E) System in malaria elimination in China and draws lessons from the MIS.

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Synopsis of recent research by authors named "Mengjuan Duan"

  • - Mengjuan Duan's recent research highlights a focus on public health challenges, particularly concerning the COVID-19 pandemic, through the development of systems for monitoring and enhancing vaccination coverage and mortality analysis.
  • - The author has contributed to innovative solutions such as the WHO Global Situational Alert System for COVID-19, which utilizes a mixed-methods approach to assess health risks globally, and tools for tracking all-cause mortality to better inform public health responses.
  • - Duan's work also includes studies on immunization strategies in China, examining factors influencing immunization status among children, the effectiveness of school entry vaccination checks, and communication strategies to improve vaccination knowledge and coverage, which are crucial for tackling vaccine hesitancy and ensuring public health safety.