Strebel Peter, Cochi Stephen, Grabowsky Mark, Bilous Julian, Hersh Bradley S, Okwo-Bele Jean-Marie, Hoekstra Edward, Wright Peter, Katz Samuel
Global Immunization Division, National Immunization Program, Centers for Disease Control and Prevention, Atlanta, Georgia 30333, USA.
J Infect Dis. 2003 May 15;187 Suppl 1:S1-7. doi: 10.1086/368226.
Despite achieving and sustaining global measles vaccination coverage of about 80% over the past decade, worldwide measles remains the fifth leading cause of mortality among children aged <5 years. In May 2002, the United Nations Special Session on Children endorsed the goal of reducing measles deaths by half by 2005. Countries and World Health Organization (WHO) regions that adopted aggressive measles control or elimination strategies have shown excellent results. In 2001, countries in the Americas reported an all time low of 537 confirmed measles cases. Substantial progress in measles control has also been achieved in the WHO Western Pacific Region, in seven southern African countries, and in selected countries in WHO European, Eastern Mediterranean, and Southeast Asian regions. The ongoing measles disease burden and availability of safe and effective measles mortality reduction strategies make a compelling case to complete the unfinished agenda of measles immunization.
尽管在过去十年中全球麻疹疫苗接种覆盖率达到并维持在约80%，但麻疹仍是全球五岁以下儿童死亡的第五大主要原因。2002年5月，联合国儿童问题特别会议批准了到2005年将麻疹死亡人数减半的目标。采取积极的麻疹控制或消除策略的国家和世界卫生组织（WHO）区域已取得了出色成果。2001年，美洲国家报告的确诊麻疹病例数创历史新低，仅537例。在世卫组织西太平洋区域、七个南部非洲国家以及世卫组织欧洲、东地中海和东南亚区域的部分国家，麻疹控制也取得了重大进展。目前麻疹疾病负担以及安全有效的降低麻疹死亡率策略的可得性，有力地说明了需要完成麻疹免疫这一未竟议程。
