非洲霍乱:拉丁美洲传播和控制的经验教训
R I Glass1, M Claeson, P A Blake
1Viral Gastroenteritis Unit, Centers for Disease Control, Atlanta, Georgia, 30333.
Lancet (London, England)
|September 28, 1991
概括
非洲的经验教训
科学领域:
- 流行病学 流行病学
- 公共卫生 公共卫生
背景情况:
- 1991年1月,霍乱疫情在秘鲁爆发,蔓延到7个拉丁美洲国家.
- 非洲经历了快速的霍乱传播,到1990年,非洲占世卫组织报告的病例的90%.
研究的目的:
- 分析与拉丁美洲控制工作相关的非洲霍乱流行病的教训.
- 确定有效的控制霍乱传播和降低死亡率的战略.
主要方法:
- 审查历史公共卫生实践及其有效性.
- 分析霍乱传播途径,包括水,食物和社会因素.
- 评估减少死亡率的战略.
主要成果:
- 像隔离和大规模疫苗接种这样的传统方法在预防霍乱方面是无效的.
- 霍乱的传播是通过受污染的水,食物和社会现象 (移民,埋葬做法) 发生的.
- 补水疗法显著降低了霍乱相关的死亡率.
结论:
- 迫切需要新的战略,重点关注卫生和行为干预措施.
- 改进的疫苗对于未来的霍乱控制至关重要.
- 了解社会因素对于有效的霍乱管理至关重要.
关键词:
非洲 非洲 非洲美国的美洲.抗生素 抗生素是一种抗生素.生物学 生物学 生物学文化 文化 文化 文化 文化提供医疗保健服务.人口结构因素 人口结构因素发展中国家 发展中国家腹 - 预防和控制腹.腹 - - 传播 - - 传播.疾病 疾病 疾病药物 药物 药物 是一种药物.环境 环境 环境 环境流行病 流行病 流行病粮食供应 粮食供应 粮食供应卫生健康 卫生健康 卫生健康卫生服务 卫生服务 卫生服务历史调查 历史调查免疫接种 免疫接种拉丁美洲 拉丁美洲 拉丁美洲移民 移民是移民.移民 移民 移民天然资源 自然资源口服补水口服补水的方法秘鲁 秘鲁 秘鲁 秘鲁 秘鲁人口人口的人口人口.人口动态 人口动态初级医疗保健是一项主要的医疗保健.难民 难民 难民风险因素 风险因素南美洲 南美洲是南美洲.治疗方法 治疗方法疫苗接种 疫苗接种相关概念视频
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