Adams Anthony, Boualam Liliane, Diorditsa Sergey, Gregory Christopher, Jee Youngmee, Mendoza-Aldana Jorge, Roesel Sigrun
Regional Commission for the Certification of Poliomyelitis Eradication in the Western Pacific Region, Global Commission for the Certification of Poliomyelitis Eradication, Avoca Beach, Australia.
Expanded Programme on Immunization, World Health Organization, Western Pacific Regional Office, Manila, Philippines.
J Infect Dis. 2014 Nov 1;210 Suppl 1(Suppl 1):S259-67. doi: 10.1093/infdis/jiu164.
On 29 October 2000, the World Health Organization (WHO) Regional Commission for the Certification of Poliomyelitis Eradication in the Western Pacific certified the WHO Western Pacific Region as free of indigenous wild poliovirus. This status has been maintained to date: wild poliovirus importations into Singapore (in 2006) and Australia (in 2007) did not lead to secondary cases, and an outbreak in China (in 2011) was rapidly controlled. Circulation of vaccine derived polioviruses in Cambodia, China and the Philippines was quickly interrupted. A robust acute flaccid paralysis surveillance system, including a multitiered polio laboratory network, has been maintained, forming the platform for integrating measles, neonatal tetanus, and other vaccine-preventable disease surveillance and their respective control goals. While polio elimination remains one of the most important achievements in public health in the Western Pacific Region, extended delays in global eradication have, however, led to shifting and competing public health priorities among member states and partners and have made the region increasingly vulnerable.
2000年10月29日，世界卫生组织（WHO）西太平洋地区根除脊髓灰质炎认证委员会认证WHO西太平洋地区无本土野生脊髓灰质炎病毒。这一状态一直维持至今：新加坡（2006年）和澳大利亚（2007年）输入的野生脊髓灰质炎病毒未导致二代病例，中国（2011年）的一次疫情也迅速得到控制。柬埔寨、中国和菲律宾的疫苗衍生脊髓灰质炎病毒传播很快被阻断。一个强大的急性弛缓性麻痹监测系统得以维持，包括一个多层级的脊髓灰质炎实验室网络，形成了整合麻疹、新生儿破伤风及其他疫苗可预防疾病监测及其各自控制目标的平台。虽然消除脊髓灰质炎仍然是西太平洋地区公共卫生领域最重要的成就之一，但全球根除工作的长期延迟导致成员国和合作伙伴之间的公共卫生重点发生转移和竞争，并使该地区日益脆弱。
