Koch D, Richard J-L, Hanhart J, Eckert T, Eigenmann Schüttel S
Abteilung Übertragbare Krankheiten, Eidgenössisches Department des Innern, Bundesamt für Gesundheit BAG, Schwarztorstr. 96, 3003, Bern, Schweiz.
Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2013 Sep;56(9):1297-304. doi: 10.1007/s00103-013-1788-0.
The measles virus circulates within Switzerland in an endemic way leading to sporadic outbreaks. The most recent outbreak occurred in 2011. It lasted 9 months and had 687 reported cases. This is in contrast to 2012 when there were 66 cases,corresponding to an incidence of 8 cases per million inhabitants. During 2008-2010, the average national vaccination coverage for one or two doses of measles vaccine amounted to 92 and 83 % for 2-year-olds, 95 and 85 % for 8-year-olds, and 95 and 85 % for 16-year-olds, respectively. To improve the national vaccination coverage, the Federal Council adopted the National Strategy for the Elimination of Measles 2011-2015 in 2011.The strategy was drawn up in a participative process led by the Federal Office for Public Health.The cantons as key partners were represented by the Conference of the Cantonal Directors for Public Health and the Association of Cantonal Health Officers. The strategy pursues the vision of eliminating measles in Switzerland in order to protect the population against measles and its complications, including all persons who may not be vaccinated for medical reasons. The strategy comprises six axes of intervention:(1)political engagement and support by all stakeholders, (2)a targeted ≥ 95 % two-dose vaccination coverage for all 2-year-olds, (3)easier access and incentives for the booster vaccination for everyone in the 2-year-old age group up to those born in 1964, (4)communication and promotion, (5)uniform national outbreak control, and (6)targeted surveillance.
麻疹病毒在瑞士以地方病形式传播，导致散发性疫情爆发。最近一次疫情爆发发生在2011年。疫情持续了9个月，报告病例达687例。这与2012年形成对比，2012年有66例病例，相当于每百万居民中有8例发病。在2008 - 2010年期间，2岁儿童一剂或两剂麻疹疫苗的全国平均接种覆盖率分别为92%和83%，8岁儿童为95%和85%，16岁儿童为95%和85%。为提高全国疫苗接种覆盖率，联邦委员会于2011年通过了《2011 - 2015年消除麻疹国家战略》。该战略是在联邦公共卫生办公室主导的参与性过程中制定的。作为关键合作伙伴的各州由州公共卫生主任会议和州卫生官员协会代表。该战略追求在瑞士消除麻疹的愿景，以保护民众免受麻疹及其并发症的影响，包括所有因医疗原因无法接种疫苗的人。该战略包括六个干预方向：（1）所有利益相关者的政治参与和支持；（2）针对所有2岁儿童实现≥95%的两剂疫苗接种覆盖率；（3）为2岁年龄组直至1964年出生的所有人提供更便捷的加强免疫接种途径和激励措施；（4）沟通与宣传；（5）全国统一的疫情控制；（6）针对性监测。
