风疹和先天性风疹综合征的控制和消除-全球进展,2000-2012 年。

Rubella and congenital rubella syndrome control and elimination - global progress, 2000-2012.

出版信息

MMWR Morb Mortal Wkly Rep. 2013 Dec 6;62(48):983-6.

DOI:
Abstract

Rubella virus usually causes a mild fever and rash in children and adults. However, infection during pregnancy, especially during the first trimester, can result in miscarriage, stillbirth, or infants with congenital malformations, known as congenital rubella syndrome (CRS). In 2011, the World Health Organization (WHO) updated guidance on the preferred strategy for introduction of rubella-containing vaccine (RCV) into national routine immunization schedules with an initial wide-age-range vaccination campaign that includes children aged 9 months-15 years. WHO also urged all member states to take the opportunity offered by accelerated measles control and elimination activities as a platform to introduce RCVs. The Global Measles and Rubella Strategic Plan (2012-2020) published by the Measles Rubella Initiative partners in 2012 and the Global Vaccine Action Plan endorsed by the World Health Assembly in 2012 include milestones to eliminate rubella and CRS in two WHO regions by 2015, and eliminate rubella in five WHO regions by 2020. This report summarizes the global progress of rubella and CRS control and elimination during 2000-2012. As of December 2012, a total of 132 (68%) WHO member states had introduced RCV, a 33% increase from 99 member states in 2000. A total of 94,030 rubella cases were reported to WHO in 2012 from 174 member states, an 86% decrease from the 670,894 cases reported in 2000 from 102 member states. The WHO Region of the Americas (AMR) and European Region (EUR) have established rubella elimination goals of 2010 and 2015, respectively. AMR has started to document the elimination of measles, rubella, and CRS; in EUR, rubella incidence has decreased significantly, although outbreaks continue to occur.

摘要

风疹病毒通常会导致儿童和成人轻度发热和皮疹。然而,怀孕期间感染,尤其是妊娠早期感染,可能导致流产、死产或婴儿出现先天性畸形,即先天性风疹综合征(CRS)。2011 年,世界卫生组织(WHO)更新了关于在国家常规免疫规划中引入含风疹疫苗(RCV)的首选策略指南,最初采用广泛年龄组疫苗接种运动,包括 9 月龄至 15 岁儿童。世卫组织还敦促所有会员国利用加速麻疹控制和消除活动提供的机会,作为引入 RCV 的平台。麻疹风疹倡议合作伙伴于 2012 年发布的《全球麻疹和风疹战略计划(2012-2020 年)》和世界卫生大会于 2012 年核可的《全球疫苗行动计划》包含了到 2015 年在两个世卫组织区域消除风疹和 CRS、到 2020 年在五个世卫组织区域消除风疹的里程碑。本报告总结了 2000-2012 年期间全球风疹和 CRS 控制和消除进展情况。截至 2012 年 12 月,共有 132 个(68%)世卫组织会员国引入了 RCV,比 2000 年的 99 个会员国增加了 33%。2012 年,共有 174 个会员国向世卫组织报告了 94030 例风疹病例,比 2000 年的 102 个会员国报告的 670894 例减少了 86%。美洲区域(AMR)和欧洲区域(EUR)分别制定了 2010 年和 2015 年消除风疹的目标。AMR 已开始记录麻疹、风疹和 CRS 的消除情况;在 EUR,风疹发病率显著下降,尽管仍有暴发发生。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fe10/4585546/2fd4657c557e/983-986f1.jpg

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