The Wellcome Trust, 215 Euston Road, London, NW1 2BE, England.
Bull World Health Organ. 2013 Apr 1;91(4):283-9. doi: 10.2471/BLT.12.111831. Epub 2013 Jan 24.
Although the 99% decrease seen in global polio incidence between 1988 and 2000 represented remarkable progress towards polio eradication, tackling the last 1% of polio has proved tantalizingly difficult. Pockets of endemic transmission currently persist both on the border between Afghanistan and Pakistan and in northern Nigeria. These pockets have permitted the reinfection of countries that were previously polio-free. Global strategic plans for polio eradication set out the activities, resources and financing needed to overcome the managerial, technical and security challenges faced by those tasked with the interruption of poliovirus transmission. However, polio eradication also depends on the less tangible but equally important human qualities of energy, realism, articulacy, determination, imagination, collaboration, adaptability, tactical awareness, innovation, openness and nimbleness (the initial letters of which give the acronym "ERADICATION"). By paying attention to these human qualities, the stakeholders involved may be more likely to achieve global polio eradication.
尽管全球脊髓灰质炎发病率在 1988 年至 2000 年间下降了 99%，这是在消灭脊髓灰质炎方面取得的显著进展，但要解决最后 1%的脊髓灰质炎问题仍然极具挑战性。目前，在阿富汗和巴基斯坦边境以及尼日利亚北部仍存在脊髓灰质炎地方性传播的地区。这些地区使以前无脊髓灰质炎的国家再次受到感染。全球消灭脊髓灰质炎战略计划列出了为克服负责中断脊髓灰质炎病毒传播的人员所面临的管理、技术和安全挑战而需要开展的活动、资源和供资。然而，消灭脊髓灰质炎还取决于能量、现实主义、表达能力、决心、想象力、协作、适应性、战术意识、创新、开放和灵活性等不太明显但同样重要的人类素质（这些字母的首字母构成了“消灭脊髓灰质炎”的缩写）。通过关注这些人类素质，相关利益攸关方更有可能实现全球消灭脊髓灰质炎。
