Impact of innovative immunization strategy on PCV13 vaccination coverage among children under 5 years in Weifang city, China: A retrospective study.

BACKGROUND: Pneumococcal Diseases (PDs) remains a serious public health problem around the world and in China. Pneumococcal vaccination is the most cost-effective measure to prevent PDs. In 2021, the government of Weifang City, Shandong Province, China introduced a free dose of domestic 13-valent Pneumococcal Conjugate Vaccine (PCV 13) to vaccinate registered children aged 6 months-2 years. This study aimed to evaluate the vaccination rate of PCV13 in children aged under 5 years before and after the vaccination program to provide evidences for further improving the prevention and control strategy for PDs. METHODS: We collected data from the children's vaccination information management system in Weifang City and analyzed the PCV13 vaccination coverage and characteristics in all vaccination clinics of Weifang City for children aged under 5 years. We compared the differences in vaccination rates by gender, birth year, manufacturer, and county before and after innovative immunization strategy. RESULTS: Among the included 593,784 children aged under 5 years, the PCV13 vaccination rate in Weifang was generally low before the innovative immunization strategy. Urban children had a higher PCV13 coverage than rural children (P < 0.001), and parents tended to vaccinate their children with imported PCV13.The full vaccination rate for domestic and imported PCV13 was 0.67 % and 1.70 %, respectively. After the vaccination program, the PCV13 coverage of children increased significantly in all counties within Weifang City (P < 0.001), especially for children above 12 months of age. Most parents preferred to vaccinate their children with domestic PCV13, and the full vaccination rate of domestic and imported PCV13 was 6.59 % and 0.16 %, respectively. CONCLUSIONS: The vaccination rate of PCV13 in children is still much lower than the global average, posting a severe health challenge that needs to be addressed thoroughly. To improve the prevention and control strategy for PDs, it is recommended to continue to explore other relevant incentives based on the innovative immunization strategy. Furthermore, it is also recommended that China should incorporate PCV13 into the National Immunization Programs (NIP) as soon as possible.

Ultrahigh Carbon Dioxide-Selective Composite Membrane Containing a γ-CD-MOF Layer.

Mixed matrix membranes (MMMs) for CO2 separation have overcome the trade-off between gas permeability and gas selectivity to some extent. However, most MMMs still are prepared in lab- and pilot-scales since the permeability and selectivity of CO2 are not good enough to reach the economically available requirements. Moreover, the fabrication of few MMMs with good separation performance is time-consuming or need harsh conditions. In this study, a novel MOF-based composite membrane (PAN-γ-CD-MOF-PU membrane) was successfully fabricated by a facile and fast spin-coating method. In the two-step coating process, we applied a uniform selective layer of γ-cyclodextrin-MOF (γ-CD-MOF) on porous polyacrylonitrile and then coated a layer of polyurethane on the γ-CD-MOF layer. The entire membrane formation process was about 30 s. The formation of a unique γ-CD-MOF layer greatly improved the separation ability of CO2 (the CO2 permeability is 70.97 barrers; the selectivity to CO2/N2 and CO2/O2 are 253.46 and 154.28, respectively). The gas separation performance can exceed the Robeson upper limit obviously and the selectivity is better than other MOF-based composite membranes. In addition, the PAN-γ-CD-MOF-PU membrane is strong and flexible. Therefore, the PAN-γ-CD-MOF-PU membrane developed in this study has great potential in large-scale industrial separation of CO2.