目标的转变:伤寒从环境疾病转变为疫苗可以预防的疾病,1940-2019年
Emily Webster1, Paula Palanco Lopez2, Claas Kirchhelle3
1Department of Philosophy, Durham University, Durham, UK; Department of Philosophy, University of Johannesburg, Johannesburg, South Africa.
The Lancet. Infectious diseases
|November 23, 2023
概括
尽管有WASH,但伤寒控制已经从水,卫生和卫生 (WASH) 转向疫苗.
科学领域:
- 全球健康 全球健康
- 流行病学 流行病学
- 公共卫生政策 公共卫生政策
背景情况:
- 伤寒热仍然是一个重要的全球健康威胁160年后,其传播被确定.
- 尽管疫苗取得了进展,但有效的控制策略仍在不断发展.
研究的目的:
- 从1940年到2019年,分析伤寒控制政策的演变.
- 确定控制优先事项的转变,特别是从WASH向基于疫苗的干预措施的转变.
主要方法:
- 来自世卫组织信息共享机构存储库 (1940-2019) 的伤寒控制政策文件的历史审查.
- 混合方法方法结合了半诱导性主题编码和历史分析.
- 文件分析,以追踪感染控制优先事项的转变.
主要成果:
- 伤寒控制政策已经从水,环境卫生和卫生 (WASH) 转向以疫苗为基础的干预措施.
- 这一转变发生在全球对台风的关注程度下降的同时.
- 虽然WASH从未正式放弃,但对其加强的持续支持失去了势头.
结论:
- 疫苗作为临时措施的依赖对伤寒控制产生了长期的负面影响.
- 需要重新评估和重新投资全面的伤寒控制策略,包括强大的WASH计划.
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