2005年减少麻疹死亡率的目标已经实现了吗? 一个自然历史建模研究研究
Lara J Wolfson1, Peter M Strebel, Marta Gacic-Dobo
1Initiative for Vaccine Research, WHO, 20 Avenue Appia, CH-1211 Geneva 27, Switzerland. wolfsonl@who.int
Lancet (London, England)
|January 24, 2007
概括
1999年至2005年间,全球麻疹死亡人数减少了60%,防止了数百万儿童死亡. 这一成功突显了免疫策略和国际合作对儿童生存的影响.
科学领域:
- 全球卫生健康 全球卫生健康
- 儿科 儿科 儿科
- 流行病学 流行病学
背景情况:
- 联合国大会儿童问题特别会议设定了2005年的目标,将麻疹死亡人数从1999年的水平减半.
- 本研究评估了实现2005年全球麻疹死亡率减少目标的进展情况.
研究的目的:
- 评估全球麻疹控制工作的有效性.
- 量化减少麻疹死亡率和通过免疫预防的死亡.
主要方法:
- 分析国家麻疹免疫覆盖率,包括世卫组织/联合国儿童基金会综合战略和第二剂量供应.
- 利用自然史模型估计1999年至2005年的麻疹死亡率趋势.
主要成果:
- 在1999年至2005年期间,全球麻疹死亡率估计下降了60% .
- 各地区都观察到显著的减少,非洲贡献了最大的总减少.
- 预防了大约750万例麻疹死亡,补充免疫和常规免疫发挥了关键作用.
结论:
- 实现了2005年全球麻疹死亡率降低目标,证明了有针对性的干预措施的成功.
- 政治承诺和国际伙伴关系对于改善高死亡率环境中的儿童生存率至关重要.
- 安全,经济有效的干预措施,如麻疹免疫,对于儿童的生存至关重要.
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