Muscat M, Jankovic D, Goel A, Butler R, Pfeifer D
WHO Regional Office for Europe, UN City, Marmorvej 51, 2100, Copenhagen Ø, Dänemark.
Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2013 Sep;56(9):1225-30. doi: 10.1007/s00103-013-1797-z.
Substantial progress has been made in the World Health Organization (WHO) European Region toward reaching the goal of measles and rubella elimination. We analyzed the surveillance data of 2012 on measles and rubella for age-group, diagnosis confirmation status (clinical, laboratory-confirmed and epidemiologically linked), vaccination status, and measles-related deaths. For 2012, there were 23,871 measles cases and 29,361 rubella cases reported in the region, mostly among unvaccinated persons. Almost one in three patients with measles and one in five patients with rubella were aged 20 years and older. In a few countries, widespread outbreaks or indigenous transmission of measles persisted in 2012. While most countries in the region have controlled rubella, a small number still reported a high incidence and several outbreaks. Therefore, more efforts are required to achieve the goal of eliminating measles and rubella in the WHO European Region by 2015, particularly in high-incidence countries. The WHO measles and rubella elimination plan stipulates that all countries should achieve and maintain the required high vaccination coverage while conducting high-quality surveillance.
世界卫生组织(WHO)欧洲区域在实现消除麻疹和风疹目标方面已取得重大进展。我们分析了2012年麻疹和风疹的监测数据,涉及年龄组、诊断确认状态(临床诊断、实验室确诊和流行病学关联)、疫苗接种状况以及麻疹相关死亡情况。2012年,该区域报告了23,871例麻疹病例和29,361例风疹病例,大多数病例发生在未接种疫苗的人群中。几乎三分之一的麻疹患者和五分之一的风疹患者年龄在20岁及以上。在一些国家,2012年仍存在广泛的麻疹疫情或本土传播。虽然该区域大多数国家已控制了风疹,但仍有少数国家报告了高发病率和几起疫情。因此,需要做出更多努力,以便到2015年在WHO欧洲区域实现消除麻疹和风疹的目标,特别是在高发病率国家。WHO麻疹和风疹消除计划规定,所有国家在开展高质量监测的同时,应实现并维持所需的高疫苗接种覆盖率。