在美洲消除麻疹. 不断发展的战略
C A de Quadros1, J M Olivé, B S Hersh
1Special Program for Vaccines and Immunization, Pan American Health Organization, Washington, DC 20037, USA.
JAMA
|January 17, 1996
概括
尽管进行常规免疫接种,但麻疹疫情仍然存在. 在美洲的追赶疫苗接种活动成功地中断了麻疹传播,证明了消除麻疹的可行策略.
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:
- 常规免疫的目的是通过针对连续的出生队伍来控制麻疹.
- 尽管疫苗覆盖率增加,但麻疹疫情仍然是全球范围内重大的公共卫生挑战.
- 过去的战略并没有在许多地区完全根除麻疹传播.
研究的目的:
- 评估追赶疫苗接种运动在中断麻疹传播方面的有效性.
- 评估大规模疫苗接种倡议之后的麻疹消除工作的可持续性.
- 分析加强监测系统与疫苗接种策略结合的影响.
主要方法:
- 实施针对9个月至14岁儿童的一次性,短期"赶上"疫苗接种活动.
- 整合改进的常规疫苗接种服务和加强的疾病监测系统.
- 规划定期对幼儿进行大规模接种疫苗的后续接种活动.
主要成果:
- 在美洲的几个国家中断了麻疹传播,包括古巴,智利和英语系加勒比国家.
- 在该地区所有剩余的国家成功控制了麻疹传播.
- 实施的战略在实现和维持麻疹消除目标方面表现有前途.
结论:
- 一次性追赶疫苗接种活动,加上加强例行服务和监测,有效地中断了麻疹传播.
- 这种综合性方法为各种环境中消除麻疹的努力提供了一个可持续的模型.
- 持续的监测和定期的后续行动对于保持无麻疹状态至关重要.
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