ベドウィン集団におけるワクチン接種で予防可能な伝染病の減少:コミュニティベースの介入プログラムの要約
I Belmaker1, L Dukhan, M Elgrici
1Ministry of Health, Regional Health Office, Southern Region, Post office box 10050, Beer-Sheva, Israel. ilna.belmaker@lbr.health.gov.il
Lancet (London, England)
|March 28, 2006
まとめ
ターゲットを絞った保健プログラムにより,イスラエルのベドウィン・アラブ人の子供の予防接種率が大幅に上昇しました. この介入は,この半遊牧民族の集団におけるワクチンで予防可能な疾患の発生率を成功裏に減少させました.
科学分野:
- 公衆衛生は公衆衛生である.
- エピデミオロジー エピデミオロジー
- ワクチン接種プログラム
背景:
- イスラエル南部のベドウィン・アラブ人は,半遊牧生活から定住生活への移行により,課題に直面した.
- 1990-91年に発生した大きな麻疹の発生は,この集団がワクチンで予防可能な病気に対して脆弱であることを強調した.
研究 の 目的:
- 予防接種の範囲と,ベドウィン・アラブ人の間でワクチンで予防可能な伝染病の発生率に対する介入プログラムの影響を評価する.
主な方法:
- 予防接種率と疾病発生率の比較分析,介入プログラムの実施前と後の比較分析.
- ベドウィン集団における免疫率と病気の発生を時間とともに追跡する.
主要な成果:
- 麻疹に対する予防接種の範囲は大きく増加し,2歳に達した子供の53%から90%に増加しました.
- 百日咳を除いて,ワクチンで予防可能な伝染病の一般的な減少が観察されました.
結論:
- 標的型介入プログラムと,医療提供の改善は,ベドウィンアラブ人のワクチン接種で予防可能な疾患の減少と関連していました.
- このプログラムの成功は,中東の類似の半遊牧民集団にとって,潜在的なモデルを提供している.
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