Dowdle Walter R, Wolff Christopher, Sanders Raymond, Lambert Scott, Best Maureen
World Health Organization, Geneva, Switzerland.
Bull World Health Organ. 2004 Jan;82(1):59-62. Epub 2004 Feb 26.
The absolute laboratory containment of any virus cannot be guaranteed, but a wealth of experience indicates that effective containment of wild poliovirus materials for global certification is technically and operationally feasible. Effective containment is based on the principles of minimal wild poliovirus infectious and potentially infectious materials in laboratories; minimal risks of operations in laboratories and inactivated poliovirus vaccine production facilities; minimal susceptibility of workers to wild poliovirus infection and shedding; and minimal susceptibility of populations to wild poliovirus spread. Each principle alone is imperfect, but collectively they greatly minimize the risks of transmitting wild poliovirus from the laboratory to the community.
虽然无法保证在实验室中对任何病毒进行绝对的隔离,但丰富的经验表明,为实现全球认证而对野生脊髓灰质炎病毒材料进行有效隔离在技术和操作上是可行的。有效隔离基于以下原则:实验室中野生脊髓灰质炎病毒感染性和潜在感染性材料最少;实验室和灭活脊髓灰质炎疫苗生产设施中的操作风险最小;工作人员感染和传播野生脊髓灰质炎病毒的易感性最低;人群对野生脊髓灰质炎病毒传播的易感性最低。单靠每一项原则都有缺陷,但综合起来它们能极大地降低野生脊髓灰质炎病毒从实验室传播到社区的风险。