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消除脊髓灰质炎的进展 - 巴基斯坦,2022年1月至2023年6月
MMWR. Morbidity and mortality weekly report
|August 17, 2023
概括
巴基斯坦在2023年初报告野生1型脊髓灰质炎 (WPV1) 病例显著下降,但环境监测表明传播仍在继续. 持续的努力至关重要,以达到未接种疫苗的儿童,并停止WPV1的循环.
科学领域:
- 公共卫生 公共卫生
- 传染病流行病学 传染病流行病学
- 病毒学 病毒学
背景情况:
- 巴基斯坦是两个自1988年以来流行野生脊髓灰质炎病毒 (WPV) 传播的国家之一.
- 通过病例报告和环境监测,监测脊髓灰质炎根除方面的进展.
研究的目的:
- 报告巴基斯坦在2022年1月至2023年6月期间消除脊髓灰质炎的进展情况.
- 突出关于正在进行的WPV传播的挑战和担忧.
主要方法:
- 报告的野生小儿麻病毒1型 (WPV1) 病例的分析.
- 审查污水采样场所的环境监测 (ES) 数据.
- 评估补充免疫活动 (SIAs).
主要成果:
- 巴基斯坦在2022年报告了20例WPV1病例,集中在Khyber Pakhtunkhwa的三个地区.
- 截至2023年6月,只有一个WPV1病例被报告,比2022年同期的13例减少.
- 在2023年,通过ES检测到11个WPV1隔离物,其中包括来自卡拉奇的,这引发了对传播范围的担忧.
结论:
- 虽然WPV1的传播似乎在地理上受到限制和减弱,但ES的发现需要保持警.
- 持续存在SIA质量的差距,特别是在水库地区.
- 阻止传播需要加强对错过儿童的疫苗接种策略,以及对新隔离的快速反应.
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