Publications by authors named "Zhiying Yin"

Article Synopsis
  • A study in Quzhou, China, aimed to identify the characteristics of pathogens in hospitalized children with acute respiratory infections (ARIs) after COVID-19 restrictions were lifted.
  • The research included 1,225 children and found that Mycoplasma pneumoniae was the most common pathogen, especially in younger kids aged 1-3, who experienced higher rates of both mono- and co-infections.
  • The findings indicated a significant monthly variation in dominant pathogens, with age and seasonal factors influencing the prevalence of infections like Mycoplasma pneumoniae, respiratory syncytial virus, and human rhinovirus, while influenza virus rates remained low.
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Background: Measles is a disease that can be eliminated through vaccination. In recent years, measles incidence and mortality have been greatly reduced.

Methods: Analyze measles surveillance data from 2014 to 2023 and measles seroepidemiological characteristics of healthy populations in 2024 to assess progress toward measles elimination.

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  • Quzhou City has transitioned from DTwP to DTaP vaccines with a high vaccination rate of 99%, yet a resurgence of pertussis cases has occurred, particularly in early 2024.
  • Data showed a significant spike in pertussis cases concentrated in the central region, mostly affecting children aged 5-9 years old.
  • A survival analysis indicated that those who received self-paid vaccines were 2.84 times more likely to contract pertussis compared to those who received free vaccines, highlighting the urgent need for improved immunization strategies.
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Background: Implementing hepatitis B vaccination is an important strategy to reduce hepatitis B virus infection and disease burden. Suboptimal adult hepatitis B vaccination coverage limits the further reduction of hepatitis B virus infection.

Methods: A multistage stratified random sampling method was adopted to survey the permanent population aged 1-59 in 2006 and 2024.

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  • The study analyzed the epidemiological characteristics and incidence of mumps in Quzhou from 2005 to 2023, focusing on the effects of various mumps vaccination strategies.
  • A total of 10,295 mumps cases were reported, with the highest incidence noted during the one-dose vaccination period (57.5/100,000), which significantly dropped to 6/100,000 after implementing two doses of the vaccine.
  • The findings highlighted that the two-dose MuCV vaccination was effective in reducing mumps cases, especially among children aged 5-9 years, stressing the need for high vaccination rates to control outbreaks in schools.
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  • Hepatitis B vaccination is highly effective in preventing HBV transmission, but monitoring and reporting adverse events following immunization (AEFI) is essential for safety.
  • A study in Quzhou from 2011 to 2023 analyzed AEFI reporting rates, symptoms, and onset times, finding a reporting rate of 17.55 AEFI per 100,000 doses, with the majority being non-serious.
  • The research showed that AEFI were mostly related to vaccine product reactions and common symptoms included fever and local site reactions; it also noted that AEFI rates were higher for the CHO vaccine compared to yeast vaccines, especially in children under one year old receiving subsequent doses.
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  • * Researchers analyzed 1,291 varicella cases from children born between 2009 and 2014, finding that vaccination improvements shifted the average age of infection to 9-11 years old.
  • * The study concluded that a two-dose vaccination strategy significantly reduced the risk of varicella infection in children and recommended the inclusion of this regimen in the national immunization schedule.
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  • Mumps is an infectious disease that can be prevented by vaccination, and its incidence was analyzed in Quzhou City after the introduction of the MMR vaccine.
  • Despite a significant reduction in mumps cases over 15 years, the highest incidence was still found in vaccinated children aged 0-12, possibly due to vaccine escape.
  • The study suggests that existing vaccines may need updates or new development to target multiple viral strains for better control, as antibody levels do not reliably indicate immunity or protection against mumps.
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The median urinary iodine concentration (UIC) of school-aged children has been commonly used as a surrogate to assess iodine status of a population including pregnant women. However, pregnant women have higher iodine requirements than children due to increased production of thyroid hormones. The aim of the study was to evaluate the iodine status of pregnant women and children as well as their household salt iodine concentration (SIC) in Quzhou, Zhejiang Province, China.

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  • This study evaluated the effectiveness of different hepatitis B vaccine strategies four years after immunization in children who were negative for hepatitis B surface antigen (HBsAg).
  • It involved analyzing the antibody responses of 359 children who received various dosages and combinations of the Hansenulapolymorpha recombinant hepatitis B vaccine (HepB-HP) and Chinese hamster ovary cell HepB (HepB-CHO) at different ages.
  • The results indicated that higher doses of HepB-CHO resulted in better antibody concentrations and seropositivity rates compared to lower doses, suggesting that future immunization strategies could benefit from using the 20 μg HepB-CHO for increased effectiveness.
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Rubella is a major cause of congenital defects, and the presence of rubella infection in a pregnant woman may lead to fetal death or congenital defects known as congenital rubella syndrome(CRS). Since China has not yet established a national CRS surveillance system, the true incidence cannot be determined. To understand the disease burden and epidemiological characteristics of CRS cases in China, the article reports the first case of CRS in Quzhou, China, and conducts a retrospective analysis of related cases that have been reported in China over the past decade.

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Background: Sabin inactivated and bivalent oral poliovirus vaccine (sIPV, bOPV) were commonly used in China since 2016. We conducted an open-label, randomised, controlled phase 4 trial to assess immune persistence following sequential immunisation with sIPV or bOPV, and immunogenicity and safety of a booster dose of poliovirus vaccine in children aged 4 years.

Methods: Participants from a previous clinical trial with three different sequential schedules with sIPV (I) or bOPV (B) at ages 2, 3, and 4 months (Groups I-B-B, I-I-B, I-I-I) in 2017 were followed-up.

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Limited data are available on the effectiveness of COVID-19 vaccines used in China in real-world outbreaks - especially against Omicron variants in vaccinated individuals. Two outbreaks of SARS-CoV-2 Omicron variants - the first involving the sub-lineage BA.2 and the second the BA.

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Despite the high coverage of pertussis vaccines in high-income countries, pertussis resurgence has been reported in recent years, and has stimulated interest in the effects of vaccines and vaccination strategies. Immunoglobulin G (IgG) antibodies against pertussis toxoid (PT), filamentous hemagglutinin (FHA), and pertactin (PRN) after immunization with four doses of co-purified or component vaccines were determined by enzyme-linked immunosorbent assay (ELISA). Serological data of PT-IgG geometric mean concentrations (GMCs) over time since vaccination were used to fit the mathematical models.

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Mumps cases were reported frequently when a routine dose measles-mumps-rubella(MMR) achieved high coverage in Quzhou. The supplementary immunization activities (SIA) using measles mumps (MM) was conducted to control mumps outbreaks. The effectiveness of one and two doses of mumps-containing vaccine (MuCV) was assessed using surveillance data in this study.

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Mumps is a vaccine-preventable disease caused by the mumps virus, but the incidence of mumps has increased among the children who were vaccinated with one-dose measles-mumps-rubella (MMR) in recent years. In this study, we analyzed the influence of different doses of mumps-containing vaccine (MuCV) against mumps using Cox-proportional hazard model. We collected 909 mumps cases of children who were born from 2006 to 2010 and vaccinated with different doses of MuCV in Quzhou during 2006-2018, which were all clinically diagnosed.

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Background: The globally synchronised introduction of inactivated poliovirus vaccine (IPV) and replacement of trivalent oral poliovirus vaccine (OPV) with bivalent OPV (bOPV) were successfully implemented in China's routine immunisation programme in May, 2016. In response to the global shortage of Salk-strain IPV, Sabin-strain IPV production was encouraged to develop and use in low-income and middle-income countries. We assessed the immunogenicity of the current routine poliovirus vaccination schedule in China and compared it with alternative schedules that use Sabin-strain IPV (sIPV) and bOPV.

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Background: From 2005 to 2016, the prevention and control of mumps in China have undergone three stages of transition. These include the use of MuCV as a self-supported vaccine, the introduction of one-dose MMR to the Expanded Program on Immunization (EPI), and the administration of two-dose MuCV following supplementary immunization activities (SIAs) using MM. Here, using surveillance data, we assessed the epidemiology of mumps during the three stages.

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