在非洲南部消除麻疹的前5年:1996-2000年
Robin Biellik1, Simon Madema, Anne Taole
1WHO, Harare, Zimbabwe. biellikr@who.co.zw
Lancet (London, England)
|June 6, 2002
概括
麻疹消除策略,包括大规模疫苗接种活动和监测,在南非显著减少了麻疹病例和死亡. 这些成功的公共卫生干预措施表明,即使在高艾滋病毒/艾滋病流行率的低收入环境中,也具有可行性.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 疫苗学 疫苗学 疫苗学
背景情况:
- 麻疹仍然是非洲疫苗可预防死亡的主要原因.
- 通过当前的疫苗和世卫组织推的策略,可以实现区域性麻疹消除.
- 该研究旨在中断麻疹传播,并通过监测评估影响.
研究的目的:
- 实施和评估非洲南部的麻疹消除战略.
- 为了证明基于病例的监测在追踪麻疹传播方面的有效性.
主要方法:
- 自1996年以来,七个南非国家实施了消除策略.
- 策略包括常规免疫接种,全国性的追赶活动 (9个月14年) 和后续活动 (959个月).
- 建立了基于病例的麻疹监测,并进行了血清学确认.
主要成果:
- 超过2400万儿童接种了疫苗,达到91%的覆盖率.
- 报告的麻疹病例从6万例 (1996年) 大幅下降到117例 (2000年).
- 麻疹死亡人数从166人 (1996年) 下降到零 (2000年),但不良事件没有增加.
结论:
- 麻疹的死亡率和发病率可以在低收入国家显著降低,即使艾滋病毒/艾滋病的流行率很高.
- 有针对性的疫苗接种活动 (地理或年龄组) 是有效的.
- 持续的国家承诺对于维持麻疹控制战略至关重要.
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