Trademarks: Gardasil® is a registered trade mark of this website Merck Sharp & Dohme Corp., Cervarix® is a registered trade mark of the GlaxoSmithKline group of companies. Conflict of interest: ND and GVK are employees of the GlaxoSmithKline group of companies and ND owns stock in the GlaxoSmithKline group of companies. DC has no conflict of interest related to this manuscript. XC has performed consultancy work for the GlaxoSmithKline group of companies. He received funding for board membership and lectures from the GlaxoSmithKline group of companies. None of these
activities was directly related to the current study Author contributions: GVK, XC, DC and ND conceived and designed the study; GVK and ND developed the model; GVK and XC acquired the data; GVK analysed the data; all authors have made substantial intellectual contributions to the manuscript, reviewed and commented on drafts and approved the final manuscript. Role of the funding source: GlaxoSmithKline Biologicals SA was the funding source and was involved in all stages of the study conduct and analysis. GlaxoSmithKline Biologicals SA also funded all costs associated with the development and the publishing of the present manuscript. All authors had full access to the data and agreed with the submission
of the manuscript for publication. “
“Hemorrhagic fever with renal syndrome (HFRS) is a zoonosis caused by Hantaviruses. It is widely distributed in eastern Asia, particularly in China. The number of HFRS cases and deaths in China is the highest in the world and therefore click here HFRS is an important public health problem in China [1]. Hu County is one of the main HFRS epidemic areas in China, with the third highest HFRS incidence among all counties of China in
2010 [2]. Both Hantaan virus (carried by Apodemus agrarius mice that thrive in the wild) and Seoul virus (carried by Rattus norvegicus rats that thrive in residential areas) were detected Terminal deoxynucleotidyl transferase in this county, with the Hantaan virus as the primary cause. Since 1994, Hu County has offered a free HFRS vaccination program to people between 16 and 60 years of age. The HFRS vaccines were supplied free of charge by the government in October to December of each year to people who had never received this vaccination. An HTNV-inactive vaccine was provided during 1994 to 2003 in Hu County and an inactive bivalent vaccine, consisting of HTNV and SEOV, was provided from 1994 to 2011. People younger than 16 and older than 60 years were suggested to avoid contact with rats and its excreta. However, this county is still severely threatened by HFRS, with an incidence of 48.5 per 100,000, which was 68.3 times higher than that in the rest of China in 2011 [3]. Some important considerations remained, including the effectiveness of the vaccination program and the necessity to continue to provide the HFRS vaccination freely in Hu.